Barry County
201 - 500 employees
Founded 1839
🏛️ Government
Government
Barry County is a local government entity (a county) that provides public services and county leadership to protect citizens' rights to a healthy, safe, and prosperous community. It operates as the administrative organization responsible for local governance, public safety coordination, community welfare, and other county-level functions.
Behavioral Health Utilization Management Specialist
Job not on LinkedIn
🕒 June 8
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Barry County
201 - 500 employees
Founded 1839
🏛️ Government
Government
Barry County is a local government entity (a county) that provides public services and county leadership to protect citizens' rights to a healthy, safe, and prosperous community. It operates as the administrative organization responsible for local governance, public safety coordination, community welfare, and other county-level functions.
📋 Description
• Conduct utilization reviews for behavioral health services, including initial, concurrent, and retrospective reviews • Assess clinical documentation to determine medical necessity and appropriate level of care • Ensure compliance with state, federal, and payer-specific regulations and guidelines • Collaborate with providers, care teams, and internal stakeholders to support quality service delivery • Maintain accurate and timely documentation of all UM activities • Participate in audits, quality improvement initiatives, and process enhancements • Stay current on best practices, regulatory updates, and industry standards in behavioral health and managed care
🎯 Requirements
• Master’s degree in Social Work, Professional Counseling, Psychology, or a related behavioral health field • Current, active licensure in the State of Michigan (e.g., LMSW/LLMSW, LPC/LLPC, LLP/TLLP) • Prior experience in utilization management, managed care, or similar review functions required • Strong attention to detail and critical thinking skills • Excellent written and verbal communication abilities • Ability to work independently while managing multiple priorities
🏖️ Benefits
• Four-day work week promoting work-life balance • Primarily remote work environment with flexible scheduling • Collaborative and mission-driven team culture • Opportunities for professional growth and development
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