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Director Behavioral Health Utilization Management Jobs

UHS

Director Utilization Management

Plymouth, IN · On-site

Responsibilities Director Utilization Management Michiana Behavioral Health is dedicated to creating a therapeutic environment that helps patients restore their health and get a fresh start. Located ...

UHS

Director Utilization Management

Plymouth, IN

Responsibilities Director Utilization Management Michiana Behavioral Health is dedicated to creating a therapeutic environment that helps patients restore their health and get a fresh start. Located ...

UHS

Director Utilization Management

Plymouth, IN · On-site

Responsibilities Director Utilization Management Michiana Behavioral Health is dedicated to creating a therapeutic environment that helps patients restore their health and get a fresh start. Located ...

Tenet Health

Director - Behavioral Health

Modesto, CA · On-site

... the Behavioral Health Center Administrator, the Director of Patient Care Services is a Master ... Minimum 5years in nursing management role, specifically psychiatric nursing License/Certificates ...

Tenet Health

Director - Behavioral Health

Modesto, CA · On-site

... the Behavioral Health Center Administrator, the Director of Patient Care Services is a Master ... Minimum 5years in nursing management role, specifically psychiatric nursing License/Certificates ...

UHS

Director of Utilization Management

Danville, VA · On-site

The Director of Utilization Management assists admissions in screening patients at the pre-hospital ... Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health ...

UHS

Director of Utilization Management

Danville, VA · On-site

The Director of Utilization Management assists admissions in screening patients at the pre-hospital ... Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health ...

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$199.5K

How much do director behavioral health utilization management jobs pay per year?

As of Sep 13, 2026, the average yearly pay for director behavioral health utilization management in the United States is $123,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,000.00 and $141,500.00 per year, depending on experience, location, and employer.

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Utilization Management Director, El Paso Health

El Paso, TX • On-site

University Medical Center of El Paso
Health Care and Social Assistance • 1 - 5K employees
Learn more about University Medical Center of El Pasoexternal

Full-time

Re-posted 12 days ago

University Medical Center Of El Paso rating

6.7

Company rating: 6.7 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

Job description

Job Summary

Provides strategic leadership and oversight of El Paso Health’s Utilization Management (UM) program, including planning, development, implementation, and continuous quality improvement of integrated UM services across all lines of business. Ensures compliance with all contractual, regulatory, and accreditation requirements established by HHSC, TDI, CMS, URAC, and other governing bodies.

Partners with healthcare providers to ensure appropriate and consistent administration of plan benefits through clinical review processes, including prior authorization, medical necessity determinations, out-of-network requests, and appropriate level-of-care decisions. Applies medical policies, clinical guidelines, benefit structures, and standardized decision-support tools within scope of licensure. Develops and maintains utilization management protocols supporting Medicaid, CHIP, Medicare Advantage, and Third-Party Administrator products. Maintains an effective and informed relationship with health plan Medical Director(s).

Minimum Job Requirements:

            Work Experience:

Five years of experience in a management/supervisory capacity required. Strong background in managed care environment with Medicaid and/or other government programs is optimal.  Experience with utilization review, clinic operations, and data collection and analysis preferred. Familiarity with third party insurance and other forms of reimbursement preferred.

            License/Registration/Certification:

             Current and active license to practice as a Registered Nurse in the state of Texas required.

            Education and Training:

            Bachelor degree in Nursing required.

     

            Skills:

  1. Proven leadership, communication, and interpersonal skills necessary to interact effectively with physicians, management, associates, and external agencies/customers.
  2. Solid organization and contract management skills.
  3. Excellent analytical and negotiation skills.
  4. Excellent oral and written communication, interpersonal and time management skills.
  5. Ability to execute and be a self-starter and follow through on projects.
  6. Possess expertise in Microsoft Excel, Power Point and Microsoft Word.
  7. Strong computer skills, including familiarity with database systems.

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