Description
Sign On Bonus: $3,000
*MUST HAVE A CLINICAL LICENSE IN THE STATE OF NEW YORK.
Location: Remote, work from home. Candidates must live in Erie County, New York area, and be within 50 miles of Buffalo and Rochester, NY.
The Behavioral Health Svcs Mgr is responsible for Behavioral Health Case Management.
How will you make an impact:
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Serve as a resource for medical management programs.
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Identify and recommend revisions to policies/procedures.
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Ensure staff adheres to accreditation guidelines.
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Support quality improvement activities.
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May attend meetings to review UM and/or CM process and discusses facility issues.
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Hire, train, coach, counsel, and evaluate performance of direct reports.
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Manage a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members.
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Oversee 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.
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Monitor and evaluate effectiveness of care plans.
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Manage case consultation and education to customers and internal staff for efficient utilization of BH services.
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Support process improvement and quality assurance activities; ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member contracts.
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Facilitate collaboration across departments to ensure cost effective and quality member care.
Minimum Requirements:
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Requires current, active, unrestricted license such as 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 the state of New York is required .
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MS in social work, counseling, psychology or related behavioral health field and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders ; or any combination of education and experience, which would provide an equivalent background.
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For Government business only: LAPC, and LAMFT are also acceptable if allowed by applicable state laws and any other state or federal requirements that may apply; provided that the manager's director has one of the types of licensure specified in the preceding sentence.
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Work experience with children and up to 20 yrs in age is required.
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Prior experience in Managed Care setting.
Preferred Skills, Capabilities and Experiences:
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Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.
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Certification as a Case Manager is preferred.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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.
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. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.