Sandhills Center

Charlotte , NC

CM\UM Director

Sandhills Center
Charlotte, NC Full-time
Posted on July 26, 2018

CM\UM Director  

Locations: Greensboro or West End

Salary range: $87,000 - $102,000

This position is responsible to work in partnership with Senior leaders of Sandhills Center to develop, fully implement and monitor the annual CM/UM Program Plan.  Develop and oversee full development and implementation of operational structure, ensure compliance with federal and state rules, key functions, core processes, related policies and procedures and staffing of the CM/UM Program. Review and revise the medical necessity criteria, clinical decision support tools, scripts, best practice and evidence-based guidelines. Conduct certification request reviews as needed.

Requires Master’s degree in mental health, social work, psychology, education, sociology, and three years of experience in a community, business, or governmental program in behavioral health related fields, including two years of supervisory, consultative or administrative experience.

Prefer experience in managed care setting to include; Extensive knowledge of LME/MCO operations and experience in working in a leadership role in a managed care organization. Experience in Utilization Management. Strong clinical knowledge of MH/SU/IDD populations.

Must possess a current full unrestricted license as independent behavioral health practitioner as LCSW, LPC, or LPA.

Sandhills Center offers an excellent benefits package, which includes vacation and sick leave, as well as health, dental, life, vision, disability insurance, 401 (k) and local government retirement benefits. All new employees will be subject to a background and driver’s license check. Sandhills Center is a drug-free workplace; drug testing is required.

We require a State application and a copy of transcripts.