Supervisor, Behavioral Health Utilization Management

Centene Corporation

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

Posted 11/5/2026full-timeRemote • Florida • United StatesMid-LevelSenior💰 $75,300 - $135,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in behavioral health utilization management, including compliance with regulations and accreditation standards. Proven ability to lead and develop teams while implementing policies and improving processes.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Behavioral Health Utilization ManagementSupervisory ExperienceMatrixed Environment LeadershipMedical Necessity Criteria Understanding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization Management PoliciesQuality ImprovementPerformance MonitoringBehavioral Health Care Issue ResolutionTeam Performance Evaluation

Soft Skills

CoachingTeam GuidanceEffective CommunicationProblem SolvingChange Leadership

Certifications & Qualifications

State LicensureBCBA CertificationRN State/Compact Licensure

Industry Keywords

Accreditation StandardsBehavioral Health ServicesUtilization ReviewCompliance GuidelinesOnboarding and Training

About the role

Key responsibilities & impact

Supervise behavioral health utilization review clinicians and day-to-day utilization management team activities
Ensure compliance with applicable guidelines
Monitor and track utilization management resources against performance, quality, and efficiency standards
Resolve complex behavioral health care member issues
Maintain knowledge of regulations, accreditation standards, and industry best practices
Identify process and quality improvement opportunities
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
Attend company meetings in the absence of the people leader
Act as primary contact for escalated calls and issues
Lead and champion change within the scope of responsibility
Present information and respond to questions from peers, leaders, and internal/external customers
Perform other duties as assigned
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
LCSW- Licensed Clinical Social Worker required, or LMHC, LPC, LMFT, LMHP, RN state/compact licensure, or BCBA certification required
Knowledge of BH utilization management principles preferred
Prior supervisory experience preferred
Understanding of medical necessity criteria for a broad range of BH services preferred
Experience leading clinicians
Ability to lead and manage others in a matrixed/cross-functional environment

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