Supervisor, Behavioral Health Utilization Management

Centene Corporation

. Supervise behavioral health utilization review clinicians and day-to-day utilization management team activities .

Posted 9/30/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $75,300 - $135,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in behavioral health utilization management, including policy development, team supervision, and compliance with regulations. Proven ability to lead teams, resolve complex care issues, and implement quality improvement initiatives.

Highest-signal resume keywords

Behavioral Health Utilization ManagementTeam SupervisionPolicy DevelopmentClinical LicensureQuality Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization Management PrinciplesMedical Necessity CriteriaRetrospective AuditsBehavioral Health Services KnowledgeTexas Administrative Code

Soft Skills

CoachingConflict ResolutionCommunicationTeam Leadership

Certifications & Qualifications

LCSWLMHCLPCLMFTRN State LicensureBCBA Certification

Industry Keywords

Local Mental Health AuthoritiesMedicaidCommunity Mental HealthFoster CareChild Protective Services

About the role

Key responsibilities & impact

Supervise behavioral health utilization review clinicians and day-to-day utilization management team activities
Monitor clinicians for compliance with applicable guidelines
Track BH utilization management resources against performance, quality, and efficiency standards
Resolve complex behavioral health member care issues
Maintain knowledge of regulations, accreditation standards, and industry best practices
Identify process and quality improvement opportunities with the team and senior management
Educate the team and provide resources on key initiatives
Develop and implement utilization management policies, procedures, and guidelines
Evaluate team performance and provide feedback on goals and career milestones
Coach and guide team members; provide counseling and corrective action when required
Assist with onboarding, hiring, and training team members
Attend company meetings in the people leader's absence
Serve as primary contact for escalated calls and issues requiring research or special handling
Lead and manage others in a matrixed/cross-functional environment
Champion change within the scope of responsibility
Present information and respond to questions from peers, leaders, and internal/external customers
Perform other assigned duties and comply with all policies and standards

Requirements

What you’ll need

Graduate of an Accredited School of Nursing or Bachelor's degree and 4+ years of related experience
License to practice independently and/or state-required licensure
Texas, active clinical license
One of: LCSW, LMHC, LPC, LMFT, LMHP, RN state/compact state licensure, or BCBA license/certification as applicable
Knowledge of BH utilization management principles preferred
Prior supervisory experience preferred
Understanding of medical necessity criteria for a broad range of BH services preferred
Knowledge of various levels of care and Texas Administrative Code preferred
Knowledge of Local Mental Health Authorities (LMHAs) guidelines preferred
Experience conducting retrospective audits preferred
Familiarity with Medicaid, community mental health, foster care, Texas Department of Family and Protective Services, or Child Protective Services preferred

Benefits

Comp & perks

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity