What are the responsibilities and job description for the Utilization Management (UM) Manager position at North Texas Behavioral Health Authority?
Title : Utilization Management (UM) Manager (RN, LPC, LCSW or LMFT)
Position's Role Summary :
Do you want to make a difference? Do you have a passion for helping others and want a career where you can make a difference? Then join our NTBHA team where we have proved to be a strong, self-sufficient and enduring foundation within our community. We are committed to connecting and serving our clients where they live. Please apply if you want to build a career here!
North Texas Behavioral Health Authority (NTBHA), based in Dallas is responsible for developing a collaborative system of care for children, adolescents and adults with severe mental illness and other serious emotional disturbances, as well as those experiencing a substance use disorder. This position's actions and work must align with NTBHA's values and goals, policies and procedures, and meet all documentation standards and regulatory requirements.
We are responsible for developing a collaborative system of care for individuals in crisis in the NTBHA service area. We are focused on trauma-informed, resilience-oriented care in all services provided.
Summary of Essential Duties and Responsibilities :
- The UM Specialist's primary functions are granting authorizations and conducting utilization reviews for behavioral health services per clinical information given by providers and internal criteria for medical necessity and appropriateness of care.
- Specialists will monitor compliance with and for various contracts entered into by NTBHA, including with the State of Texas.
- Data entry, maintaining files and reports, and performing other routine office work are required in this position.
- This position will require excellent communication, organizational and documentation skills as well as the ability to use multiple computer software applications, including WebCARE and CMBHS.
- Utilization management and utilization review work is achieved under general supervision with considerable latitude for the use of initiative and independent judgment.
- Duties and projects may be assigned or changed to meet business needs.
Education, Training and Experience (including licensure and certification)
Required Skills and Abilities :
NTBHA is deeply committed to diversity, equity, and inclusion, both in our hiring practices and in our experiences as employees. We strive to create a mindful and respectful environment and culture that is free of perceived harassment, racism, and discrimination, creating an environment of understanding and compassion for all lived experiences.
Job Type : Full-time (Hybrid)
Shift Hours :
Monday through Friday 7 : 00am-4 : 00pm
Monday through Friday 9 : 00 am-6 : 00pm
Monday through Friday 10 : 00am-7 : 00pm
Monday through Friday 10 : 30am-8 : 30pm
Benefits : 401(k)
