Manager Behavioral Health Clinical Services

1 week ago

Woodland Hills, United States Elevance Health Full time

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 .

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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