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Behavioral Health Care Manager I
Elevance HealthBehavioral Health Care Manager I overseeing psychiatric and substance abuse treatment at Elevance Health. Utilizing clinical judgment to ensure quality healthcare access and member outcomes.
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 RN, LCSW, LPC (as allowed by applicable state laws), LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Georgia 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
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Behavioral Healthcare AssessmentClinical JudgmentScreening Criteria KnowledgeCase MonitoringImplementation Of Treatment Plans
Soft Skills
Effective CommunicationInterpersonal SkillsProblem-Solving
Certifications
RNLCSWLPCLMFTClinical Psychologist