BH Utilization Management Reviewer (Remote Option)

Knowledge, Skills and Abilities: Comprehensive knowledge of mental illness and appropriate treatment for major diagnostic categories; behavioral health principles, techniques, and practices, and their application to complex treatment and service provision Considerable knowledge of person-centered and recovery philosophies and interventions Considerable knowledge of assessments and interventions for mental health, developmental disability and substance use disorders; Knowledge of the 1915 (b) (c) waiver Knowledge of psychiatric medications and side effects Knowledge of evidence-based practices Awareness of cultural diversity Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) Ability to engage providers in collegial discussions about plans of care and best clinical practices for consumer Ability to establish and maintain effective working relationships with consumers and their families as well as civic, legal, medical, social, and religious stakeholders Ability to express ideas clearly and concisely orally and in writing, and to plan and execute work effectively and efficiently Ability to utilize complex telephone and computer systems, and to read and document information electronically Ability to make prompt decisions based on relevant facts Detail oriented, able to independently organize multiple tasks and priorities, and to effectively manage an assigned caseload under pressure of deadlines Education/Experience Required: A Master’s Degree in a Human Services field with clinical licensure and two (2) years of post-Master’s experience in BH or a Registered Nurse with two (2) years of experience in BH, post RN degree. Must reside in North Carolina. Education/Experience Preferred: Registered Nurse in North Carolina by the N.C. Board of Nursing with experience in psychiatric nursing services. Licensure/Certification Requirements: Current unrestricted license with the appropriate professional board of licensure in the state of North Carolina. Licensed to practice as a Registered Nurse in North Carolina by the N. C. Board of Nursing or Independent License in NC as a LCSW, LCMHC, LPA, LMFT. An Associate license does not meet the requirements. An employee may be dual licensed with one of the specialties listed here can also be licensed as an LCAS. NC DMA contract requirements does not allow for an LCAS to be a standalone license for working in UM. Employee is responsible for complying with respective licensure board’s continuing education/training requirements to maintain an active license.

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