Behavioral Health Care Manager – Utilization Management
Elevance Health
full-time
Posted on:
Location Type: Remote
Location: Colorado • United States
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Salary
💰 $62,640 - $103,356 per year
About the role
- 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
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 Colorado license (e.g., RN, LCSW, LMHC, LPC, LMFT or Clinical Psychologist) to practice as a health professional within the scope of licensure in Colorado is required
- Experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases (preferred)
- Experience with substance abuse treatment and ASAM levels of care knowledge as well as in-home intensive therapy modalities (strongly preferred)
- Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills (strongly preferred)
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- medical benefits
- dental benefits
- vision benefits
- short and long term disability 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 & Tools
psychiatric assessmentsubstance abuse assessmentcase planningmonitoringevaluatingutilization managementcase managementin-home intensive therapyASAM levels of care
Soft Skills
oral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical skills
Certifications
MAMSRNLCSWLMHCLPCLMFTClinical Psychologist