Location: This position will work a hybrid model (remote and office). The candidate must live within 50 miles of our Baton Rouge, Louisiana Elevance Health location.
The Clinical Director is responsible for directing a state or regional behavioral health services function. Responsible for one line of business and one or more states depending on size and complexity of the contract.
How you will make an impact:
Ensures appropriate utilization and administration and/or delivery of EAP or Behavioral Health services.
May lead team(s) of clinicians providing direct care services.
Directs assessments, provides appropriate referrals, and performs follow up to ensure the quality and appropriateness of services.
Develops and maintains a positive relationship with providers, advocates and state partners and works to maintain quality outcomes, proper billing, and coordination of care.
Leads and participates in cross-functional corporate teams which design and implement new care/case/utilization management programs.
Develops and implements process and program redesigns.
Leads multiple teams of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources.
Ensures adherence to all contract, regulatory and accreditation requirements.
Develops short/long-term objectives and monitors processes and procedures to ensure consistency with the enterprise and compliance with state and federal regulations.
Collaborates with Care Management partners to resolve issues or find solutions.
Manages budget and special projects.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
Requires a MS in a mental health field (i.e. social work, counseling) or related field (i.e. nursing) and a minimum of 10 years of clinical experience including case management and leadership experience; or any combination of education and experience which would provide an equivalent background.
Current unrestricted license for specific profession (i.e. LCSW, RN,) as required in the state of Louisiana.
Preferred Skills, Capabilities, and Experiences:
Experience managing teams specializing in crisis intervention and de-escalation.
Experience managing contact center personnel providing public-facing services via call, text, and/or chat.
Experience managing or collaborating closely with Certified Peer Specialists in the context of clinical and/or crisis work.
Experience managing and coordinating teams virtually or remotely.
Experience instructing, mentoring, and coaching contact center staff or crisis staff or clinical staff, or management of a team performing such work.
Experience in stakeholder engagement or marketing or public education activities, or management of a team performing such work.
Experience in writing or refining clinical policies and workflows.
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. Candidates must reside within 50 miles or 1-hour 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/member-facing roles to become vaccinated against COVID-19. 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 elevancehealthjobssupport@elevancehealth.com for assistance.
