Elevance Health • Saint Louis, MO 63112
Job #2707935269
Manager Behavioral Health Clinical Services
Location: This position will work in a hybrid model (remote and office). The ideal candidate must live within 50 miles of an Elevance Health PulsePoint location.
Work schedule: M-F normal business hours.
The Manager BH Clinical Services is responsible for managing the clinical operations department. Manages the delivery of quality care management, clinical utilization, and referral services.
How you will make an impact:
Reviews for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply criteria and render certification decisions that are within the scope of practice that is relevant to the clinical areas under review.
Identifies areas for quality improvement and implements QI activities.
Interfaces with internal and external customers to ensure optimal quality of service.
Acts as a liaison with other operations departments.
Monitors departmental compliance with all performance standards, and legal and regulatory requirements.
Maintains updated workflows based on current policies and procedures.
Participates in quality, regulatory, and account-specific meetings.
Responsible for departmental reporting.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
Requires BA/BS in mental health field or an AA in Nursing with related psychiatric nursing experience and minimum of 5 years of behavioral healthcare experience and minimum of 3 years managed care experience; or any combination of education and experience, which would provide an equivalent background.
Requires current, active, unrestricted license in a mental health field as an RN, PhD, LCSW (as applicable by state law and scope of practice), MHC, LPC, etc. to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
Preferred Capabilities, Skills and Experiences:
Minimum of 1 year leadership experience preferred.
Clinical and Operational experience preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $83,748 to $143,568.
Locations: California; Colorado; Nevada; New York
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .
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