Manager – Specialty Care Management

IMH

. Lead the Restriction Team, sometimes referred to as Medicaid Lock-in .

Posted 9/18/2026full-timeMurray • Utah • United StatesJuniorMid-Level💰 $45 - $69 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading clinical teams, overseeing care management and utilization review processes, and ensuring compliance with regulatory standards. Proficient in program development, performance evaluation, and fostering interdisciplinary collaboration.

Highest-signal resume keywords

Leadership ExperienceUtilization ReviewCare ManagementClinical ExperienceBudget Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ReviewCare ManagementProgram DevelopmentPerformance EvaluationBudget ManagementClinical AssessmentData AnalysisWorkflow OptimizationDischarge PlanningInterdisciplinary Collaboration

Soft Skills

Strong Communication SkillsMentorshipTeam LeadershipProblem SolvingCommunity Outreach

Tools & Technologies

Computer ProficiencyData Monitoring ToolsReporting Software

Certifications & Qualifications

BSNLCSWSpecialty Certification in Care ManagementLeadership Training Certification

Industry Keywords

NCQA ComplianceCMS StandardsJoint Commission StandardsPatient Safety InitiativesManaged Care

About the role

Key responsibilities & impact

Lead the Restriction Team, sometimes referred to as Medicaid Lock-in
Lead, supervise, and mentor RN or Behavioral Health Care Managers, RN or Behavioral Health Utilization Review clinicians, and support positions
Oversee daily operations, staffing, resource allocation, and workflow optimization
Manage departmental budgets and performance evaluations
Develop, implement, and monitor program structures, processes, and outcome standards for Utilization Review and Care Management
Facilitate interdisciplinary collaboration among members, families, providers, and payers
Ensure compliance with NCQA, CMS, Joint Commission, and patient safety initiatives
Champion continuous improvement, address gaps, and monitor processes and metrics
Coordinate safe transitions of care, including discharge planning and repatriation to participating providers
Create and present reports on program performance, outcome measures, and return on investment
Support staff development, mentorship, and community outreach activities

Requirements

What you’ll need

Bachelor’s degree in Nursing (BSN) from an accredited institution or Master’s Degree in Clinical Social Work (LCSW)
Current licensure with compact privileges; must transfer licenses within 60 days
Leadership or supervisory experience in clinical or managed care settings
Two years of clinical experience and one year in care management or utilization review
Strong written and verbal communication skills
Intermediate computer skills and ability to troubleshoot independently
Completion of required leadership training within one year of accepting the position
Preferred: Master’s degree in a clinical, education, or business specialty
Preferred: Specialty certification in care management or utilization review
Preferred: Experience in program development and oversight
Preferred: Project management and organizational skills
Ability to read and assess information, documents, and monitors
Frequent verbal communication and hearing for interactions with colleagues and providers
Manual dexterity for computer use and equipment handling
Ability to sit or stand for extended periods
For roles requiring driving: ability to drive and read signs, signals, and other vehicles

Benefits

Comp & perks

Generous benefits package covering programs supporting wellness, including living healthy, happy, secure, connected, and engaged
Remote work expectations and company equipment provisions for hybrid work