You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines. Monitors and tracks UM BH resources to ensure adherence to performance, quality, and efficiency standards. Works with BH utilization management team to resolve complex BH care member issues related to BH. Maintains knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management. Works with BH utilization management team and senior management to identify opportunities for process and quality improvements within utilization management. Educates and provides resources for BH utilization management team on key initiatives and to facilitate on-going communication between BH utilization management team, members, and providers. Works with the BH senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services. Evaluates BH utilization management team performance and provides feedback regarding performance, goals, and career milestones. Provides coaching and guidance to the BH utilization management team for optimal performance management and provides counseling and corrective action when required. Assists with onboarding, hiring, and training BH utilization management team members. Attends company meetings in absence of people leader. Acts as primary contact for escalated calls/issues that require research or special handling. Leads and manage others in a matrixed/cross functional environment. Leads and champions change within scope of responsibility. Presents information and responds to questions from peers, leaders and internal/external customers. Performs other duties as assigned. Complies with all policies and standards.