Manager, Behavioral Health Services
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Denver • Colorado, Florida, Nevada • 🇺🇸 United States
Visit company websiteSalary
💰 $89,712 - $140,976 per year
Job Level
Mid-LevelSenior
About the role
- Serves as a resource for medical management programs
- Identifies and recommends revisions to policies/procedures
- Ensures staff adheres to accreditation guidelines
- Supports quality improvement activities
- May assist with implementation of cost of care initiatives
- May attend meetings to review UM and/or CM process and discusses facility issues
- Hires, trains, coaches, counsels, and evaluates performance of direct reports
- Provides leadership in development of new pilots and initiatives to improve care or lower cost of care
- Ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member contracts
Requirements
- Requires current, active, unrestricted license such as RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC, LMSW, LBA (as allowed by applicable state laws), LMFT, or Clinical Psychologist
- Prior experience in Managed Care setting required
- MS in social work, counseling, psychology or related behavioral health field or a degree in nursing and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience
- Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred
- Certified Employee Assistance Professional (CEAP) is preferred
- Additional requirements for BH CM: experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
- Specific education and years and type of experience may be required based upon state law and contract requirements.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- paid holidays
- Paid Time Off
- medical
- dental
- vision
- short and long term disability benefits
- wellness programs
- financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical experienceutilization managementcase managementtelephonic coachingbehavioral health treatmentcost of care initiativesquality improvementpolicy knowledgeaccreditation guidelinescare management best practices
Soft skills
leadershipcoachingcounselingperformance evaluationcommunicationproblem-solvingteam collaborationpolicy revisioninitiative developmentstaff training
Certifications
RNLCSWLMHCLPCLMSWLBALMFTClinical PsychologistCertified Employee Assistance Professional (CEAP)