Job Description
JR122543 Mental Health Operations Manager (Evergreen)
Assists with the design, implementation and running of the day-to-day clinical operations.
Location : This position will work a hybrid model (remote and office) and must live within 50 miles of one of our Pulse Point office locations.
How will you make an impact :
Participates in care team clinical rounds and clinical meetings.
Ensures appropriate triage and referral of patients to clinically appropriate community providers and supports.
Participates in the development and implementation of initiatives to improve the impact to all aspects of patient care.
Ensures compliance with state and CMS regulations.
Participates in the development of procedures and workflows to ensure high quality care and positive consumer experience.
Monitors and analyzes clinical and quality reports.
Works with interdisciplinary teams to develop effective utilization of technology to support quality, clinical and development of other relevant metrics.
Provides updates regarding the status of clinical operations.
Ensures adherence to contract deliverables.
Develops standard operating procedures (SOPs) and processes to support internal operations, as well as integrated operations with health partners.
May work on special projects.
Minimum requirements :
Requires MS or Ph.D in a behavioral health or related field and minimum of 5 years of operations experience; or any combination of education and experience, which would provide an equivalent background.
Requires current, active, unrestricted license in a mental health field, such as a LCSW, ACSW, LLP, MHC, LMHC, LPC, etc.
in applicable states or territory of the United States.
Preferred Skills, Capabilities, and Experiences :
Experience with client auditing or Medicare and Medicaid audits.
Job Level :
Non-Management Exempt
Workshift :
1st Shift (United States of America)
Job Family : MED >
MED >
Licensed / Certified Behavioral Health Role
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 for assistance.