Manager Behavioral Health Clinical Services

Elevance Health; Atlanta (GA); Hybrid; USD 100,000 - 140,000; Full time

Job summary

Elevance Health in Atlanta, GA, seeks a Manager Behavioral Health Clinical Services to lead clinical operations for care navigation and ensure delivery of quality care management, utilization and referral services.

This hybrid role requires in-office presence 1–2 days per week, a flexible schedule, and a licensed health professional (RN, PhD, LCSW, MHC, LPC, etc.) with behavioral healthcare and managed care experience.

Qualifications

• Requires BA/BS in mental health or AA in Nursing with psychiatric nursing experience.
• Minimum 5 years behavioral healthcare experience and 3 years managed care experience.
• Active, unrestricted license in a mental health field (RN/PhD/LCSW/MHC/LPC, per state law).

Responsibilities

• Lead clinical operations for care navigation services in Georgia's crisis continuum.
• Oversee delivery of quality care management, utilization and referral services.
• Hire, train, coach and evaluate performance of direct reports.
• Monitor compliance with performance standards and regulatory requirements.
• Maintain updated workflows and participate in quality/regulatory meetings.

Skills

Leadership

Team management

Healthcare operations

Education

Bachelor's degree in mental health

Associate degree in Nursing

Job description

Position Title: Manager Behavioral Health Clinical Services

Location: 740 W Peachtree Street NW Atlanta, GA

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Manager Behavioral Health Clinical Services will be responsible for managing the clinical operations for care navigation services for Georgia's crisis continuum and managing the delivery of quality care management, clinical utilization and referral services.

Schedule: Monday - Friday 9:00am - 5:00pm; The role requires flexibility to work varied hours and shifts to provide leadership coverage and support staff across all shifts.

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 Skills, Capabilities and Experiences:

• Minimum of 3 year leadership experience preferred.
• Experience working with healthcare facilities. health plans, and/or state governments
• Demonstrated experience leading and managing teams.

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 market-competitive 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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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 should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.