Manager II Behavioral Health Service - at Elevance Washington, Washington DC

Manager II Behavioral Health Services

LOCATION: Washington D.C. in-office 4 days per week. You must be within a commutable distance of this location. HOURS: General business hours, Monday through Friday. Hybrid 2: This role requires associates to be in-office 4 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 an accommodation is granted as required by law.

The Manager II Behavioral Health Services will be responsible for Behavioral Health Case Management. Serves as a mentor to lower leveled managers and as a subject matter expert for other areas of the company and within the department. Develops and manages annual operating budget. Primary responsibilities include but are not limited to:

• Manages a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members.
• Oversees 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.
• Monitors and evaluates effectiveness of care plans.
• Manages case consultation and education to customers and internal staff for efficient utilization of BH services.
• Supports process improvement and quality assurance activities.
• Ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member contracts.
• Facilitates collaboration across departments to ensure cost effective and quality member care.
• 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 CM process and discusses facility issues.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Required Qualifications

• Requires current, active, unrestricted license as an LICSW to practice as a health professional within the scope of licensure within the District of Columbia.
• MS in social work, counseling, psychology or 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 extensive experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders;
• A minimum of 2 years prior management experience is required.
• Prior experience in Managed Care setting required.

Preferred Qualifications

• Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.
• Certification as a Case Manager preferred.