Director of Behavioral Health Services- North Carolina

Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of a North Carolina Elevance Health Pulse Point location.

We are partnering with North Carolina DHHS to operationalize the single, statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including: Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, Long term services and supports, unmet health-related resource needs, and Integrated Care Management.

We envision a North Carolina where all children and families are thriving in safe, stable, and nurturing homes. Our trauma-informed, System of Care-designed and outcomes-driven approach of CFSP to serving infants, children, adolescents, their parents and guardians, young adults, caregivers, and resource parents engaged in the North Carolina child welfare system, specifically families involved with DSS and youth in foster care. Our teams will work closely with providers, social workers and local stakeholders to bring families across the state comprehensive, whole-person care that addresses the full set of factors that impact health.

The Director of Behavioral Health Services 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. This person is specifically responsible for providing oversight and leadership of integrated behavioral health benefits, including UM program, network development and care management.

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.

Preferred Qualifications:

• NC-licensed Psychiatrist or Psychologist.

• Five (5) years in a BH clinical setting and two (2) years in managed care.

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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 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 elevancehealthjobssupport@elevancehealth.com 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.