Behavioral Health Care Manager I, Utilization Management
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Cerritos • California • United States
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Salary
💰 $62,640 - $112,752 per year
About the role
- Responsible for 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
- 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
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 California license to practice as a health professional within the scope of licensure in California required
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
- Bonuses
- Stock options
- Wellness programs
- 401(k) + match
- Life insurance
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 skillsorganizational skills
Certifications
California health professional license