Behavioral Health Care Manager I – Bilingual Preferred
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Durham • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
- Ensures access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract
- Refers cases to Peer Reviewers as appropriate
- Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes
Requirements
- Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing
- Minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
- Current active unrestricted license, such as LCSW LMSW LMHC LPC, LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States
- Bilingual in Spanish is highly preferred
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred
- Previous crisis hotline is preferred
Benefits
- Sign On Bonus: $3,500
- medical, dental, vision, short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
psychiatric assessmentsubstance abuse treatmentcase managementutilization managementclinical judgmentscreening criteriacase planningmonitoringevaluating
Soft skills
communicationinterpersonal skillsclinical judgmentproblem-solving
Certifications
LCSWLMSWLMHCLPCLMFTClinical Psychologist