Manager Behavioral Health Services (Chester Co., PA)

Manager Behavioral Health Services

LOCATION : This position requires 3 days per week in-office. You must reside in or very near Chester County, PA.

HOURS : General business hours, Monday through Friday. (Core hours: 8-5)

Hybrid 2: This role requires associates to be in-office 3 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 Services is responsible for Behavioral Health Utilization Management (BH UM) and Behavioral Health Case Management (BH CM) (integrated model).

Primary duties may include but are not limited to:

• Serves as a resource for medical management programs.

• Identifies and recommends revisions to policies/procedures.

• Ensures staff adheres to accreditation guidelines.

• Supports quality improvement activities.

• May assist with implementation of cost of care initiatives.

• May attend meetings to review UM and/or CM process and discusses facility issues.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports. Responsibilities for BH UM may include:

• UM: Manages a team of licensed clinicians and non-clinical support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services.

• CM: Manages a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members.

• Monitors and evaluates the effectiveness of care plans; manages case consultation and education to customers and internal staff for efficient utilization of BH services;.

• Additional responsibilities for integrated BH UM and BH CM model include integrating the UM/CM functions to improve information flow and collaboration.

Required Qualifications

• Requires MA/MS in social work, counseling or a related behavioral health field, or a degree in nursing, and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience.

• Requires a current active unrestricted license such as LCSW, LMHC, LICSW, LPC, LMFT, RN or Clinical Psychologist to practice as a health professional from the Commonwealth of Pennsylvania.

• Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders required.

• Managed care experience required.

Preferred Qualifications

• Behavioral Health treatment strongly preferred.

• Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.

• Certification as a Case Manager is preferred.

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 may contact [email protected] for assistance.

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.