Behavioral Health Utilization Care Manager

Behavioral Health Utilization Care Manager

Do You Want to Make a Difference?

Here is where you can do it!

Central Florida’s Behavioral Health Network, Inc. (CFBHN) is one of the leading behavioral health managing entities in the state of Florida, covering 14 counties.  Contracted with the Department of Children and Family, we provide oversight to providers in central Florida who serve in the mental health and substance use disorder field in many settings, including schools and community settings.  We have been in business for more than 25 years, are well respected in the field, and are located in a convenient location near Brandon just off the Selman Expressway, not far from downtown!

The Behavioral Health Utilization Care Manager is a very important role at CFBHN.  The individual in this role is responsible for assuring the system of care is accessible, effective, efficient and appropriate for individuals and families seeking services.  The successful candidate in this role will have a Master’s degree in social work, public or business administration, public health, or related field; or will be a registered nurse.  The person selected will have their Behavior Health license LMHC, LCSW, or LMFT along with at least three years of experience.  We are seeking someone who can handle multiple priorities at the same time, has proficient computer skills (Microsoft office, Outlook), and has the ability for local travel, as needed.  See more requirements below.

One of the best things about working at CFBHN is that this company truly cares about employees and it shows in the length of time our employees stay with us.  Many of our staff have been here ten years or more!  We offer a great paid time off program that includes vacation days, sick days, two paid personal days and a paid volunteer day; a health benefit that is currently 100% employer paid with telehealth and H.S.A options; a great 401k plan along with a profit sharing plan to help you prepare for your future. We provide a life insurance policy, an employee assistance program, a very comfortable office space, and more!  This is great hybrid role which is mostly work from home and we provide your laptop, cell phone, monitor, and other supplies.

This is an important role at CFBHN and we are looking for the right person with the education, skills, and experience to match the role.  If you meet the qualifications below, we may want to talk with you!

Responsibilities

• Review, analyze, trend and report utilization/care coordination data of individuals receiving behavioral health services.
• Identify, recommend, and assist in implementing programmatic and system changes designed to further develop and improve system of care through acute care meetings, care coordination, etc.
•  Provide training and technical assistance related to utilization management/care coordination.
• Assure compliance with provider and CFBHN contractual requirements, managing entity accreditation requirements, annual audit requirements and laws, regulations and rules that govern the provision of behavioral health services
• Participate in and/or chair CFBHN Utilization Management Committee meetings and other associated CFBHN meetings
• Other related duties as assigned

Qualifications

• Master’s degree in social work, public or business administration, public health or related field or registered nurse
• Behavioral health license LMHC, LCSW, LMFT
• Three years’ experience in utilization management or human services program management that includes oversight of admissions, census, discharges, and budget
• Exceptional skills in utilization data analysis
• Understanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal funding
• In-depth understanding of system of care principles and values
• Knowledge of federal and state regulations related to the provision of mental health and substance services
• Knowledge of the principles and practices of collaborative quality improvement processes
• Ability to manage multiple tasks and prioritize to meet deadlines
• Ability to travel as required by the position
• Proficient computer skills including Microsoft Office, Outlook, etc.
• Excellent written and oral communication skills
• Ability to travel as required by the position

We Offer

• Health & dental (100% paid for employee)
• Vision benefits (deeply discounted pricing)
• Work mostly from home – hybrid role
• Life Insurance ($10,000 policy, 100% paid)
• 401k and profit sharing
• AD&D policy (100% employer paid)
• Health Savings Account and Telehealth at no cost
• AFLAC available
• 12 vacation days and 12 sick days
• Two personal days and one paid volunteer day
• Seven paid holidays
• Employee assistance program
• Relaxed and comfortable office atmosphere
• And more great benefits about working for this non-profit

For immediate consideration, please submit your resume today!