Director Behavioral Health Services (US)

Company: Elevance Health
Location: Baltimore
Posted on: March 20, 2023

Job Description:

JOB SUMMARY: 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. PRIMARY DUTIES:

• 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. *** Candidate MUST reside AND be licensed in the state of Maryland*** 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. PREFERRED QUALIFICATIONS:
    • Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Keywords: Elevance Health, Baltimore , Director Behavioral Health Services (US), Executive , Baltimore, Maryland