ZipRecruiter

Log In

1

Behavioral Utilization Review Jobs in Missouri (NOW HIRING)

Centene Corporation

Psychologist Reviewer

Louisiana, MO · On-site

$100 - $125/hr

Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified ... Interact with network practitioners to provide education on best practice models and utilization ...

previous pagenext page

Showing results 21-40

All JobsBehavioral Utilization Review JobsBehavioral Utilization Review Jobs in Missouri

Behavioral Utilization Review information

What is the difference between Behavioral Utilization Review vs Behavioral Case Manager?

AspectBehavioral Utilization ReviewBehavioral Case Manager
CredentialsLicensed mental health professionals, certifications varyLicensed clinical social workers, counselors, or therapists
Work EnvironmentReview settings, insurance companies, healthcare facilitiesDirect patient interaction, hospitals, outpatient clinics
Employer & IndustryInsurance companies, healthcare organizationsHospitals, mental health agencies, managed care
Primary FocusAssessing medical necessity, reviewing treatment plansCoordinating care, supporting treatment adherence

Behavioral Utilization Review primarily involves evaluating the necessity of mental health services through review processes, while Behavioral Case Managers focus on coordinating patient care and supporting treatment plans. Both roles require mental health credentials but differ in daily tasks and work settings.

How to become a behavioral utilization review?

To become a behavioral utilization review specialist, candidates typically need a bachelor's degree in psychology, social work, nursing, or a related field. Relevant experience in mental health or healthcare settings, along with knowledge of insurance policies and utilization review processes, is important; some roles may require certification such as the Certified Professional in Utilization Review (CPUR).

Is behavioral utilization review a stressful job?

Behavioral utilization review can be stressful due to the need to evaluate complex mental health cases, meet strict deadlines, and handle sensitive patient information. The role often requires strong attention to detail, critical thinking, and emotional resilience, which can contribute to job-related stress.

What are popular job titles related to Behavioral Utilization Review jobs in Missouri?

For Behavioral Utilization Review jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Behavioral Utilization Review jobs in Missouri look for?

The top searched job categories for Behavioral Utilization Review jobs in Missouri are:

What cities in Missouri are hiring for Behavioral Utilization Review jobs?

Cities in Missouri with the most Behavioral Utilization Review job openings:

Behavioral Utilization Review jobs near you

Behavioral Respite Program Manager

Libertana

California, MO • On-site

$100 - $125/hr

Other

Posted 19 days ago

Job description

Position : Behavioral Respite Program Manager

Pay Range : $95,000-$105,000 PER YR

Reporting To : VP of Clinical & Direct Care Services

Work Type : On-site

POSITION SUMMARY:

The Behavioral Respite Program Manager is responsible for overseeing the daily operations, staffing, service delivery, and overall performance of the Behavioral Respite Program. This role provides supervision and support to Behavioral Respite Professionals and other team members, ensures services are delivered in accordance with client needs, agency standards, and regulatory requirements, and serves as a liaison with Regional Center partners. The Program Manager also supports program growth, staff training, compliance, documentation, and quality assurance efforts.

QUALIFICATIONS:

The following is a representation of the major duties and responsibilities of this position. The agency will provide reasonable accommodation to allow otherwise qualified applicants with disabilities to perform essential functions.

  • Bachelor’s degree in social work, psychology, education, or another related field
  • Minimum 3 year’s experience in a management position in a human service related field
  • Minimum 2 year’s experience providing staff training, supervision, and planning.
  • Expertise in the coordination of intensive services both in a clinic and community setting
  • Strong leadership, organization, and communication skills
  • Familiarity with principles of family-centered, strengths-based services.
  • Comfortable in diverse home environments and culturally responsive
  • Ability to work independently and collaborate with a multidisciplinary team
ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following is a representation of the major duties and responsibilities of this position. The agency will provide reasonable accommodation to allow otherwise qualified applicants with disabilities to perform essential functions.

  • Manage and oversee all branch functions for each department and all clinical and administrative staff
  • Supervision of Behavioral Respite Professionals delivering behavior management and respite relief
  • Ensure 90% of services are being provided, utilization review
  • Ensure HIPPA compliance is understood, implemented and reinforced in the department
  • Ensure all data collection is maintained and collected in an ethical manner
  • Complete and submit Special Incident Reports to VP of Clinical Care
  • Liaison with Regional Center
  • Directly contribute to growth of the office
  • Ensure all progress reports are submitted timely
  • Overlap and provide additional training to Behavioral Respite Professionals in the field and as needed
  • Ensure branch is fully staffed at all times
  • Actively participate in hiring and promotion process
  • Driving may be required throughout territories we services.
  • Conduct all functions in accordance with agency guidelines, policies, and procedures.
  • Perform other duties as assigned.
PHYSICAL REQUIREMENTS:
  • Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis (Up to 75% of the time).
  • Close vision requirements due to computer work.
  • Light to moderate lifting may be required (up to 25lbs).
#J-18808-Ljbffr

Apply