Senior Business Manager – Complaints Strategy & Insights
Capital One
Behavioral Health Case Manager I
Elevance Health
full-time
Posted on:
Location: Virginia • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Behavioral Health Case Manager I responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
- Conducts assessments to identify individual needs and develops care plan to address objectives and goals
- Monitors and evaluates effectiveness of care plan and modifies plan as needed
- Supports member access to appropriate quality and cost-effective care
- Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers
- Work Location - Virtual; exception of required in-person training sessions
Requirements
- Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing
- Minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background
- Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
- Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred
