Mgr Behavioral Health Clinical Services 5 Locations

Anticipated End Date: 2025-03-04 Position Title: Mgr Behavioral Health Clinical Services Job Description: A proud member of the reputed company family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Manager, Behavioral Health Clinical Services Location: This position is required to work a Hybrid Model (office and remote). Ideal candidates Must live reputed company 50 miles to an reputed company corporate office. Work Shift: Monday through Friday, 8 am to 5 pm (EST) The Manager, Behavioral Health 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 reputed company an impact: • Reviews for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply criteria and reputed company certification decisions that are reputed company 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 reputed company performance standards, and legal and regulatory requirements. • Maintains updated workflows based on reputed company 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 reputed company psychiatric nursing experience and a minimum of 5 years of behavioral healthcare experience And a minimum of 3 years managed care experience; or any combination of education and experience, which would provide an equivalent background. • Requires reputed company, active, unrestricted license in a mental health field as either a RN, PhD, LCSW, LICSW (as applicable by state law and scope of practice), reputed company, LPC, etc. to practice as a health professional reputed company the scope of licensure in the United States. Preferred Skills, Capabilities and Experiences: • Minimum 2 years of experience in UM and CM. • Minimum 1 year of leadership experience is highly preferred. • Master’s Degree preferred. Job Level: Manager Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified Behavioral Health Role Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company. Who We Are reputed company 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 reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company 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. reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company 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 reputed company 50 miles or 1-hour commute each way of a relevant reputed company location. The health of our associates and communities is a top reputed company for reputed company. We require reputed company 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. reputed company will also follow reputed company relevant federal, state and local laws. reputed company is an Equal Employment Opportunity employer, and reputed company 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 reputed company, 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 [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Apply Job!