Behavioral Health Care Manager II – ABA

Elevance Health

Behavioral Health Care Manager managing ABA pre-certification health benefits through telephonic or written review. Working remotely with potential for in-person training sessions as required.

Posted 7/2/2026full-timeAtlanta • North Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing ABA pre-certification health benefits and applying clinical judgment to assess member needs, ensuring access to quality behavioral healthcare. Proficient in case management and utilization management for complex psychiatric and substance abuse cases.

Highest-signal resume keywords

MA/MS In Social Work CounselingCurrent Active Unrestricted LicenseManaged Care ExperienceCase Management/Utilization ManagementBehavioral Health Expertise

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical JudgmentBehavioral Healthcare AssessmentCase PlanningMonitoring and EvaluatingUtilization ManagementComplex Case ManagementScreening Criteria KnowledgeTelephonic ReviewWritten ReviewResource Coordination

Soft Skills

Oral Communication SkillsWritten Communication SkillsInterpersonal Communication SkillsProblem-Solving SkillsFacilitation SkillsAnalytical Skills

Certifications & Qualifications

Board Certified Behavioral AnalystRNLCSWLMSWLMHCLPCLBA

Industry Keywords

Behavioral HealthSubstance Abuse TreatmentPsychiatric TreatmentHealth BenefitsUM Clinical Guidelines

About the role

Key responsibilities & impact

responsible for managing ABA pre-certification 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.
Reviews ABA 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.
Will serve as a resource to other BH Care Managers.
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 and substance abuse or substance abuse disorder treatment
Current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA
Prior managed care experience required
Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Benefits

Comp & perks

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