Behavioral Health Care Manager II
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Cerritos • California • 🇺🇸 United States
Visit company websiteSalary
💰 $78,660 - $117,990 per year
Job 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 to ensure 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 to optimize member health benefits and to promote effective use of health benefits and community resources.
- Will serve as a resource to other BH Care Managers.
- Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.
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 RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
- Prior managed care experience required.
- California licensure with LCSW, LMFT, LPC, Psych RN, or Clinical Psychologist preferred.
- Proficient in Microsoft Office Suite (Word and Outlook) preferred.
- Ability to quickly learn and adapt to new technologies preferred.
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- short and long term disability benefits
- medical, dental, vision benefits
- 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 assessmentcase managementutilization managementclinical judgmentcare coordinationcase planningmonitoringevaluatingbehavioral healthcare
Soft skills
interpersonal skillscommunication skillsorganizational skillsteam collaborationproblem-solving
Certifications
MAMSRNLCSWLMSWLMHCLPCLBALMFTClinical Psychologist