Elevance Health

Behavioral Health Case Manager II

Elevance Health

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $71,820 - $107,730 per year

Job Level

Mid-LevelSenior

About the role

  • Perform case management telephonically and/or by home visits within scope of licensure for members with behavioral health and substance use disorder needs
  • Serve as subject matter expert in targeted clinical areas (e.g., Eating Disorders, Maternity, Alcohol/Drug, Autism Spectrum Disorders)
  • Respond to complex cases and account-specific requests
  • Use screening criteria and clinical judgment to assess member needs
  • Conduct assessments and develop individualized care plans; monitor and modify plans as needed
  • Support member access to appropriate, quality and cost-effective care
  • Coordinate with internal and external resources and collaborate with providers
  • Serve as a resource to other behavioral health case managers and participate in cross-functional teams, projects, and initiatives

Requirements

  • MA/MS in social work, counseling, related behavioral health field, or degree in nursing (or equivalent combination of education and experience)
  • Minimum of 3 years clinical experience in social work/counseling with a broad range of complex psychiatric and substance abuse disorder treatment
  • Current active unrestricted license (RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW) or Clinical Psychologist as allowed by applicable state laws
  • Previous experience in case management and telephonic and/or in-person coaching with members with complex psychiatric/substance abuse and/or medical disorders
  • Managed care experience required
  • For Government business: LAPC or LAMFT acceptable where allowed
  • Some field-based work required; ability to perform home visits
  • Must be within reasonable commuting distance to posting location or have an accommodation as required by law
  • Preferred: experience in health coaching and motivational interviewing techniques
  • For Puerto Rico associates: current PR health certificate and PR Law 300 certificate required (if applicable)
  • May require COVID-19 and Influenza vaccination for certain patient/member-facing roles