Behavioral Health Care Manager II
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Las Vegas • Colorado, Nevada, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $71,820 - $112,860 per year
Job Level
Mid-LevelSenior
About the role
- Manage psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
- Use 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
- Refer cases to Peer Reviewers as appropriate
- Perform psychiatric and substance abuse assessment coordination, implementation, case planning, monitoring and evaluating to promote quality member outcomes and optimize member health benefits
- Promote effective use of health benefits and community resources
- Serve as a resource to other BH Care Managers and assist with more complex cases
- Participate in inter and intradepartmental teams, projects and initiatives
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
- or any combination of education and experience which would provide an equivalent background
- Current, active, unrestricted license such as either a RN (must have exp in behavioral health), LCSW, LMHC, LPC, LCPC (as allowed by applicable state laws) LMFT licensed in the United States. Licensure is a requirement for this position
- Prior managed care experience required
- Work Shift Hours: Monday through Friday, 12:00 pm (EST) to 8:30 pm (EST)
- Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- 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
- comprehensive employee assistance program
- work/life support
- Flexible/virtual work arrangements (virtual full-time with in-person training)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
psychiatric assessmentsubstance abuse assessmentcase planningmonitoringevaluatingclinical judgmentscreening criteriabehavioral healthcaremanaged care experiencetelephonic review
Soft skills
communicationteam collaborationproblem-solvingresource managementinterpersonal skillsorganizational skillscomplex case managementmember advocacyinitiative participationquality outcome promotion
Certifications
RNLCSWLMHCLPCLCPCLMFT