Utilization Management Specialist

Sanctuary Recovery Centers•Phoenix, AZ

1d•Onsite

About The Position

Responsibilities include ensuring all clients are receiving the right care, in the right place, at the right time, through staffing and discharge planning work. Reviews clinical information data received from providers ensuring clinical data is aligned with medical necessity criteria and Sanctuary Recovery Centers authorization guidelines to authorize services, as needed. Works with provider staff, community agencies, members, and families to coordinate effective data and clinical protocols.

Requirements

Bachelor's degree in behavioral health
Minimum of 3 years' experience in mental health/substance use
Understanding of the behavioral health system, the child welfare system, and the local provider network.
Understanding the overall system of care.
Strong communication skills, both verbal and written. Must pay attention to details with excellent follow up.
Ability to multi-task and exhibit flexibility.
Proficient with computer programs such as Microsoft Office.
Oral communication/public speaking-speaks clearly and persuasively in both positive and negative situations.
Demonstrates ability to facilitate group meetings and discussions; solicits feedback from participants, keeps discussions on topic and within the timeframe needed, able to capture attendee's attention.
Documentation- skilled in writing notes, preparing proposals, drafting meeting minutes, and other reports.
Judgement- displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.
Empathy displays appropriate empathy for individuals and families: excellent counseling and problem-solving skills.
Diplomacy- able to deal effectively and positively with staff and external parties including providers and community stakeholders.
Follow- through demonstrates the ability to assume responsibility for tasks and ensure they are completed thoroughly and in a timely manner.
Understanding of data/outcomes as they relate to the target population to be served.
Good health is evidenced by acceptable health screening, emotional stability, ability to function effectively under stressful circumstances, and acceptable attendance record.
Has a valid driver's license and acceptable driving record.
Will consent to background screening processes as required by the State based on holding this position of special trust to include a fingerprint-based search of criminal records in Florida and nationally and drug testing

Responsibilities

Supports the authorization and utilization management (UM) data to facilitate the review data process for mental health/substance abuse clients.
Serves as a liaison and logistical support for the various UM programs within the organization.
Maintains a working knowledge of all workflows related to Sanctuary Recovery Centers utilization management.
Tracks UM and waiting list data to generate reports as required by the organization.
Other related duties as requested.