Behavioral Health Care Manager I – Overnights, Weekends, After-Hours Crisis Line

Elevance Health

Behavioral Health Care Manager I managing psychiatric and substance abuse treatment via telephonic review. Requires North Carolina residency and specific educational qualifications for licensure.

Posted 6/30/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing psychiatric and substance abuse treatment, utilizing clinical judgment for assessment and case planning, while ensuring compliance with UM Clinical Guidelines. Proficient in coordinating care and optimizing health benefits for members, with a focus on quality outcomes.

Highest-signal resume keywords

MA/MS In Social Work, Counseling, Or Related Behavioral Health Field3+ Years Experience In Psychiatric And Substance Abuse TreatmentCurrent Active Unrestricted License (LCSW, LMSW, LMHC, LPC, LMFT, RN, Or Clinical Psychologist)Utilization Management/Case Management ExperienceBilingual English-Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Psychiatric AssessmentSubstance Abuse AssessmentCase PlanningClinical JudgmentCrisis Intervention

Soft Skills

CommunicationInterpersonal SkillsProblem-Solving

Tools & Technologies

Microsoft Office (Word, Excel, Outlook)EMR Systems

Certifications & Qualifications

LCSWLMSWLMHCLPCLMFTRNClinical Psychologist

Industry Keywords

Utilization ManagementBehavioral HealthcareMedicaidFoster CareHigh-Risk Population

About the role

Key responsibilities & impact

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 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

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 and substance abuse or substance abuse disorder treatment
Current active unrestricted license, such as LCSW, LMSW, LMHC, LPC LMFT, RN or Clinical Psychologist to practice as a health professional within the scope of licensure from the state of North Carolina is required
Medicaid, Foster care or high-risk population experience preferred
Prior Utilization Management/Case Management experience with a broad range of experience with complex psychiatric/substance abuse cases strongly preferred
Bilingual English-Spanish is highly preferred
Previous crisis hotline experience is preferred
Must be computer literate, including Microsoft Office (Word, Excel, Outlook) and EMR, and be comfortable using multiple screens simultaneously.

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