Location: Within 50 miles of the Elevance Health Georgia Pulse Point locations
Shift: Multiple shifts available; some holidays required
Sunday - Thursday; 10:00am - 6:30pm
Tuesday - Saturday; 10:00am - 6:30pm
*This position is supporting a 24-hour crisis call center overseeing the delivery of quality crisis care and referral services*
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 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 2 year leadership experience preferred.
