Crisis Referral Manager
Crisis Referral Manager
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Job Description
Anticipated End Date:
Position Title:
Crisis & Referral ManagerJob Description:
Crisis & Referral Manager
Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Georgia Elevance Health PulsePoint locations.
Schedule: TuesSat 10 am to 6:30 pm EST.
Carelon Health is a proud member of the Elevance Health family of brands offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
The Crisis & Referral Manager is responsible for managing a 24/7 crisis line 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 crisis and referral cases utilizing professional knowledge to apply criteria and render certification decisions guidance that are within the scope of practice that is relevant to the clinical areas under review.
- Provides direct consultation for staff taking crisis calls/texts/chats throughout shift.
- 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 accountspecific meetings.
- Responsible for departmental reporting.
- Hires trains coaches counsels and evaluates performance of direct reports.
- Supports training of new staff and ongoing staff development.
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 Skills Capabilities and Experiences:
- Minimum of 1 year leadership experience preferred.
Job Level:
ManagerWorkshift:
Job Family:
MED > Licensed/Certified Behavioral Health RolePlease 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.
Required Experience:
Manager
Employment Type
Full-Time
