Behavioral Health Utilization Care Manager

Come Put your Experience to Use and Work with Great People!

Central Florida’s Behavioral Health Network, Inc. (CFBHN) is one of the leading behavioral health managing entities in the state of Florida, covering 14 counties.  Contracted with the Department of Children and Family, we provide oversite to providers in central Florida who serve in the mental health and substance abuse field in all types of settings, including school and community settings.  We have been in business for more than 25 years, are well respected in the field, and are located in a convenient location near Brandon just off the Selman Expressway, not far from downtown!

The Behavioral Health Utilization Care Manager is responsible for assuring that the system of care is accessible, effective, efficient and appropriate for individuals and families seeking services.

One of the best things about working at CFBHN is that the company truly cares about its employees, and it shows in the length of time our employees stay with us. Many of our staff have been here ten years or more. We offer a great paid time off program that includes paid vacation days, paid sick days, paid personal days and a paid volunteer day! Our health and dental benefits are 100% employer paid for telehealth. We offer a great 401k plan along with a profit-sharing plan to help you prepare for your future. This is a great hybrid role which is mostly work from home. We provide your laptop, cell phone, monitor, and other supplies you may need.

Responsibilities:

Essential Job Functions

• Review, analyze, trend and report utilization/care coordination data of individuals receiving behavioral health services.
• Identify, recommend, and assist in implementing programmatic and system changes designed to further develop and improve system of care through acute care meetings, care coordination, etc.
• Provide training and technical assistance related to utilization management/care coordination.
• Assure compliance with provider and CFBHN contractual requirements, managing entity accreditation requirements, annual audit requirements and laws, regulations and rules that govern the provision of behavioral health services
• Participate in and/or chair CFBHN Utilization Management Committee and other associated CFBHN meetings
• Exceptional skills in utilization data analysis
• Understanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal funding
• In-depth understanding of system of care principles and values
• Knowledge of federal and state regulations related to the provision of mental health and substance services
• Knowledge of the principles and practices of collaborative quality improvement processes
• Ability to manage multiple tasks and prioritize meeting deadlines
• Knowledge of Microsoft Office suite as applicable to the position
• Ability to travel as required by the position