Behavioral Health Care Manager II

Elevance Health

Behavioral Health Care Manager II managing psychiatric disorder treatment benefits through telephonic or written review for Elevance Health. Assessing member needs, ensuring access to quality behavioral healthcare, and optimizing health benefits.

Posted 4/24/2026full-timeDurham • Connecticut, Kansas, North Carolina, Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Responsible for managing psychiatric 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
Refers cases to Peer Reviewers as appropriate
Conducts psychiatric disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes
Assists with more complex cases and may participate in inter and intradepartmental teams’ projects and initiatives

Requirements

What you’ll need

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 treatment
Current active unrestricted license such as LBA (as allowed by applicable state laws) or Clinical Psychologist
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric cases required
Prior managed care experience required

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementutilization managementpsychiatric assessmentclinical judgmentcase planningmonitoringevaluating

Soft Skills

interpersonal skillscommunication skillsteam collaborationproblem-solving

Certifications

LBAClinical Psychologist