Utilization Review Manager – Triage – REMOTE

• Bachelor’s or Associates + California RN — OR Master’s degree with either: LCSW, LMFT, LPCC. All candidates must have active California licensure.
• 2+ years experience in behavioral health or psychiatric healthcare

• Provide telephone triage on a queue, managing crisis intervention and emergency authorizations.
• Manage authorizations for services creating provider lists to send out to members to help locate providers
• In collaboration with clinical team, authorize and review UM of mental health and substance abuse services provided both inpatient and outpatient settings.
• Collect and analyze UM data.