Behavioral Health Case Manager I
Elevance Health
Behavioral Health Case Manager II
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Worcester • Massachusetts • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Run SUD TOC Groups (Substance Use Disorder Transition of Care) three times a week at Worcester Area detoxes
- Support Members discharging from detox accessing treatment
- Complete Utilization Management for inpatient and outpatient level of care
- Perform 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
- Respond to more complex cases and account specific requests
- Use appropriate screening criteria knowledge and clinical judgment to assess member needs
- Conduct assessments to identify individual needs and develop specific care plan to address objectives and goals
- Monitor and evaluate effectiveness of care plan and modify plan as needed
- Support member access to appropriate quality and cost-effective care
- Coordinate with internal and external resources to meet identified needs of the members and collaborate with providers
- Serve as a resource to other BH Case Managers
- Participate in cross-functional teams, projects and initiatives
- Required to go to Worcester, MA and surrounding areas detox centers to run group meetings 3 or more days a week
Requirements
- Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing
- Minimum of 3 years of 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, LMHC, LICSW, LPC (as allowed by applicable state laws), LMFT, LMSW (as allowed by applicable state laws), or Clinical Psychologist required to practice within scope of licensure
- Managed care experience required
- Previous experience in case management and telephonic and/or in person coaching preferred
- Substance abuse and detox experience desired
- Experience in health coaching and motivational interviewing techniques preferred
- For Government business only: LAPC, LAMFT (as allowed by applicable state laws) also acceptable
- For associates in Puerto Rico who are member/patient facing: current PR health certificate and current PR Law 300 certificate required
- Must be within a reasonable commuting distance from the posting location(s) unless accommodation is granted as required by law
- May be required to become vaccinated against COVID-19 and Influenza for certain patient/member-facing roles
Benefits
- merit increases
- Paid holidays
- Paid Time Off
- incentive bonus programs (unless covered by a collective bargaining agreement)
- medical, dental, vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
- employee assistance program
- work/life support
- specialty programs for autism and depression
- market-competitive total rewards
- personal and professional growth opportunities
- Flexible/hybrid work arrangements (virtual work with required in-person sessions)
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical experiencecase managementutilization managementscreening criteria knowledgebehavioral health assessmentcare plan developmenthealth coachingmotivational interviewingsubstance abuse treatmentdetox experience
Soft skills
communicationcollaborationclinical judgmentproblem-solvingresourcefulnessteam participationmember supportorganizational skillsadaptabilityinterpersonal skills
Certifications
RNLCSWLMHCLICSWLPCLMFTLMSWClinical PsychologistPR health certificatePR Law 300 certificate
