[Hiring] Behavioral Health Care Manager I @Elevance Health

Role Description

The Behavioral Health Care Manager I is responsible for managing psychiatric and 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 disorder assessment coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes, optimize member health benefits, and promote effective use of health benefits and community resources.

Qualifications

• 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 disorder treatment, or any combination of education and experience which would provide an equivalent background.
• 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.

Requirements

• 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

• Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, and incentive bonus programs.
• Medical, dental, vision, short and long term disability benefits.
• 401(k) + match, stock purchase plan, life insurance.
• Wellness programs and financial education resources.