AVP Utilization Management in Rocky Hill, CT at Beacon Health Options

Date Posted: 2/9/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic AVP of Utilization Management to join our team at our office in LOCATION.  The AVP of Utilization Management will be responsible for the leadership of Utilization and Care Management, including the development of P&P’s as well as setting and implementing UM goals. The position interfaces with other operational units including clinical leaders of CTBHP regarding UN and clinical systems.

Position Responsibilities:

  • Serves on the Senior Leadership team and works collaboratively with other senior executives to create a cohesive care organization

  • Monitors member and provider variables to identify service development needs.

  • Promotes service utilization which cost effectively achieves stabilization, rehabilitation and maintenance care objectives.

  • Directs care (utilization) management team activities in reviewing treatment needs and utilization patters

  • Participates in quality improvement system assessments to monitor compliance with clinical standards, performance targets, patient care objectives and to identify best clinical practices

  • Position Requirements:

Education: Clinical Masters Degree minimum 

Licensure:  Clinical CT License

Relevant Work Experience:   3-5 years applied Clinical experience, 3 year administrative management experience and 2 year managed care  experience.

Knowledge, Skills & Abilities:

  • Leadership Skills

  • Clinical Supervisory Skills

  • Public Speaking Skills

  • Writing Skills

  • Teaching Skills

  • Conflict Resolution Skills

  • Computer Skills

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled