Utilization Review Manager (Behavioral Health Supervisor)

Participates in management and leadership teams as well as interagency workgroups to support strategic initiatives aimed at improving equitable access, effective service delivery and improved outcomes for youth involved in child welfare, juvenile justice and special education. Working closely with staff from child-serving agencies such as child welfare, juvenile justice, special education and community mental health, the UR team ensures that high quality, effective interventions that are trauma-informed and evidence-based are offered.

Are you a knowledgeable behavioral health professional seeking ways to support youth with intensive needs and their families from our community? Do you have an interest in system-level work by building collaborative partnerships to promote access to high-quality care? Do you have skills navigating policy and managing detailed information?

If so, we invite you to apply for the position of Children’s Services Act (CSA) Utilization Review Manager. This is an exciting time to join Fairfax-Falls Church System of Care as a member of the CSA team to meet the behavioral health needs of children and youth in our community.

This position plays a critical role in serving children and families in our community who require intensive behavioral health interventions and support. Supervises a team of senior clinicians to review requests for services and authorize funding for a continuum of services and supports. Working closely with staff from child-serving agencies such as child welfare, juvenile justice, special education and community mental health, the UR team ensures that high quality, effective interventions that are trauma-informed and evidence-based are offered. This position works closely with quality assurance, procurement, fiscal teams and data analytics to balance service delivery with effective, outcome- focused interventions. This position requires a detail-oriented and analytical professional who can manage and interpret complex policy and unique child-specific needs in a dynamic human service environment, working collaboratively with various partners to implement a System of Care model.

Under general guidance of the CSA Program Manager, performs the following duties and responsibilities:

• Supervises and manages a team of behavioral health senior clinicians to review and authorize requests for intensive behavioral health services and supports
• Provides oversight to ensure service authorizations comply with state and local policy meeting programmatic and fiscal audit standards
• Participates in management and leadership teams as well as interagency workgroups to support strategic initiatives aimed at improving equitable access, effective service delivery and improved outcomes for youth involved in child welfare, juvenile justice and special education
• Leads collaborative efforts and engages with private provider partners to ensure a full continuum of high quality, trauma-informed and evidence-based interventions are available
• Supports implementation of the System of Care model in Fairfax-Falls Church to accomplish strategic priorities for youth with complex, intensive needs
• Utilizes technology solutions, electronic documentation systems, and virtual platforms for efficient business processes in a dynamic human services environment.
• Collects and analyzes qualitative and quantitative data to provide management reports to leadership about service trends, gap analyses and other program metrics