Utilization Manager

Samaritan Daytop Village is seeking a Utilization Manager to assist with compliance, quality, and appropriateness requirements. The position involves conducting utilization reviews, providing supervisory support, and monitoring audit. The role requires a commitment to maintaining high-quality care and service delivery to clients.

Requirements

• OASAS CASAC Certification (with Bachelor’s Degree);
• Other QHP credential such as LMSW, LMHC, LMSW-LP, or MHC-LP (with Master’s Degree);
• Bachelor’s Degree in Human Services;
• OASAS CASAC certification;
• Master’s Degree in Social Work or related field;
• Other QHP credential such as LMSW, LMHC, LMSW-LP, or MHC-LP
• At least One (1) year clinical or quality assurance experience in behavioral healthcare/human services organization or One (1) year demonstrated clinical experience in substance use or mental health treatment.
• In depth knowledge on HIPAA, OASAS, and 42 CFR regulations
• Working knowledge of quality assurance and utilization review systems.
• Computer literacy including proficiency in Microsoft Office Suite and EHR.
• Experience working directly with people from diverse racial, ethnic, and socioeconomic backgrounds.
• Competency in written, interpersonal, verbal, and computational skills to present and document records in accordance with program standards.
• Ability to work independently.