Manager, Behavioral Health Services
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Seven Fields • Pennsylvania • United States
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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
- Manages a team of licensed clinicians and non-clinical support staff to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services
- Engages in telephonic outreach to members
- Monitors and evaluates the effectiveness of care plans; manages case consultation and education to customers and internal staff for efficient utilization of BH services.
Requirements
- Requires MA/MS in social work, counseling or a related behavioral health field, or a degree in nursing
- Minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment
- Prior utilization management experience
- Requires a current active unrestricted license such as LCSW, LMHC, LICSW, LPC, LMFT, RN or Clinical Psychologist to practice as a health professional from the Commonwealth of Pennsylvania
- Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders required
- Managed care experience required
- Behavioral Health treatment strongly preferred
- Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred
- Certification as a Case Manager is preferred
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- 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 & Tools
clinical experienceutilization managementcase managementtelephonic coachingin-person coachingbehavioral health treatmentpolicy knowledgecost of care initiativesquality improvementperformance evaluation
Soft Skills
leadershipcoachingcounselingcommunicationteam managementproblem-solvinginterpersonal skillsorganizational skillsstaff trainingmember engagement
Certifications
LCSWLMHCLICSWLPCLMFTRNClinical PsychologistCase Manager certification