Utilization Manager

Integral Care

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree in Psychology, Counseling, or Social Work from an accredited institution
  • Current RN, RN-APN, PA, LCSW, LPC, or LMFT license in Texas
  • Valid driver's license with a clean driving record

Responsibilities

  • Conduct utilization management and reviews
  • Authorize needed services and monitor compliance
  • Respond to calls from Integral Care's main phone queue and contract partners
  • Answer crisis calls on the Hotline to Help
  • Perform data entry and maintain files and reports
  • Complete routine office work as assigned
  • Adhere to trauma-sensitive practices in all duties

Benefits

  • Medical, Dental and Vision insurance
  • Generous vacation/holiday/sick leave
  • Life and Short-term/Long-term Disability Insurance
  • Employee Assistance Program (EAP)
  • 403(b) retirement account
  • Gold's gym membership discount
  • Mileage reimbursement
Full Job Description
Utilization Manager

Job Number: 26-12568

Job Summary: The primary functions of this position are utilization management, conducting utilization reviews, granting authorizations, and monitoring compliance with and for various contracts entered into by Integral Care and Tejas Behavioral Health. Contracts include, but are not limited to, those with departments of the State of Texas, the City of Austin, Travis County, and managed care health plans. Calls coming into Integral Care's main phone queue, as well as calls from contract partners are answered by UM call center staff 24/7, including holidays. Utilization Managers will also be required to answer Integral Care's Hotline to Help and crisis calls from the managed care plans. Data entry, maintaining files and reports, and performing other routine office work are required in this position.

Regular, predictable attendance is considered to be an essential requirement for this position. Other duties may be assigned. May require a flexible work schedule.

Integral Care employees are to strive to maintain a trauma sensitive workplace, to embrace trauma sensitive and informed practices, and to foster a supportive and welcoming environment of care.

Education:

Required:

  • Graduated from an accredited college or university with a Master's degree with a major specialization in Psychology, Counseling, or Social Work.

License:

Required:

  • Current and valid driver's license and a clean driving record.
  • RN, RN-APN, PA, LCSW, LPC, or LMFT licensed in the state of Texas.

Hours: Full-Time.

Workdays: Sunday - Saturday (five days a week).

Workhours: Varies.

Salary: $75,037.84 - $95,632.16 based on years of licensure.

Employee Benefits:

  • Medical, Dental and Vision insurance
  • Generous vacation/holiday/sick leave
  • Life and Short-term/Long-term Disability Insurance
  • Employee Assistance Program (EAP)
  • 403(b) retirement account
  • Gold's gym membership discount
  • Mileage reimbursement

For specific positions, additional compensation may be offered to candidates who are bilingual in English and another language deemed necessary for the role.

This position requires the employee to reside in the state of Texas.

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