Manager, Behavioral Health Utilization Management - IL reputed company

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a fulltime remote teleworker opportunity in Illinois. The Manager, Utilization Management, conducts reputed company and management of clinical team processes including the organization and development of high performing teams. This is a fully remote position. Eligible candidates may live reputed company in the contiguous US; however, Illinois residence is preferred. reputed company Components

• Reinforces clinical philosophy, programs, policies and procedures.
• Communicates strategic plan and specific tactics to meet plan.
• Ensures implementation of tactics to meet strategic direction for cost and quality reputed company.
• Creates direction and communicates a business case for change by focusing on and addressing key priorities to reputed company business results.
• Identifies opportunities to implement best practice approaches and introduce innovations to reputed company improve reputed company.
• Will be accountable for meeting the financial, operational and quality objectives of the department.
• Will be accountable for the day-to-day management of team(s) for appropriate implementation and adherence with established practices, policies and procedures.
• Works closely with other functional area managers to ensure consistency in clinical interventions supporting our plan sponsors.
• reputed company, initiate, monitor and communicate performance expectations.
• May act as a single reputed company of contact for the customer and the Account Team which includes participation in customer meetings, implementation and reputed company of customer cultural requirements, and support implementation of new customers.
• Participate in the recruitment and hiring process for staff using reputed company defined requirements in terms of education, experience, technical and performance skills.
• Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.
• Consistently demonstrates the ability to serve as a model change agent and reputed company change efforts.
• Accountable for maintaining compliance with policies and procedures and implements them at the employee level.
• Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve reputed company.

Minimum Qualifications

• Active, unrestricted clinical licensure (RN or Behavioral Health as outlined below).
• 5+ years of clinical practice in behavioral reputed company.
• 2+ years of utilization management experience (managed care setting preferred).
• 2+ years of reputed company leadership experience (managed care setting preferred).
• 2+ years of proficiency with personal computers, keyboard navigation, and MS Office Suite.
• 1+ year of experience with electronic medical records.
• Ability to travel up to 10% for in-state meetings.
• Ability to work core business hours (Mon–Fri, 8 AM–5 PM CT) with occasional weekend flexibility.
• High-speed internet reputed company.

Preferred Qualifications

• Illinois residency.
• Managed care experience.
• reputed company experience.
• Strong ability to multitask, prioritize, and adapt to a fast-paced, changing environment.

Education & Licensure

• If Registered Nurse:
• Master’s degree or equivalent experience required (BSN preferred).
• Active, unrestricted Illinois RN license.
• If Behavioral Health:
• Master’s degree in a field leading to independent Behavioral Health licensure.
• reputed company, unencumbered Illinois license as one of the following:
• Licensed Clinical Professional Counselor (LCPC)
• Licensed Clinical reputed company Worker (LCSW)

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The Typical Pay reputed company For This Role Is $95,738.00 - $206,206.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 06/13/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job