Manager Behavioral Health Services

Anticipated End Date:

Position Title:

Job Description:

The Manager Behavioral Health Services is responsible for Behavioral Health Utilization Management (BH UM) or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated model). May also be responsible for the Employee Assistance Program (EAP)/Resource Center (RC).

Location: Candidates must reside in West Virginia.

How you will make an impact:

• Manages a team of licensed clinicians and nonclinical support staff engaged in telephonic outreach to members.

• Oversees staff assessing developing implementing coordinating monitoring and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs.

• Monitors and evaluates effectiveness of care plans.

• Manages case consultation and education to customers and internal staff for efficient utilization of BH services.

• Supports process improvement and quality assurance activities.

• Ensures adherence to appropriate departmental policies care management best practices relevant clinical standards and member contracts.

• Facilitates collaboration across departments to ensure cost effective and quality member care.

Minimum Requirements:

• 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 facilitybased and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and experience which would provide an equivalent background.

• 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 to practice as a health professional within the scope of licensure in applicable states or territory of the United States.

Preferred Skills Capabilities and Experiences:

• Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.

• Certified Employee Assistance Professional (CEAP) is preferred.

Job Level:

Workshift:

Job Family:

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.

We offer a range of marketcompetitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.