Elevance Health
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Behavioral Health - Care Manager II
role at
Elevance Health
2 days ago Be among the first 25 applicants
This range is provided by Elevance Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $68,400.00/yr - $123,100.00/yr
Location Virtual: This role enables the associate to work virtually full-time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development.
Per our policy on hybrid/virtual work, 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.
The Behavioral Health - Care Manager II is responsible for managing psychiatric or autism facility‑based and outpatient professional treatment health benefits through telephonic or written review.
How You Will Make An Impact
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 autism 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.
Serves as a resource to other BH Care Managers.
Assists with more complex cases and may participate in inter and intra‑departmental team projects and initiatives.
Minimum Requirements
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and a minimum of 3 years of experience with facility‑based and/or outpatient psychiatric and substance abuse treatment; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted license such as LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT, RN or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territories of the United States is required. Licensure is a requirement for this position. For states that do not require licensure, a 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 is required.
Prior managed care experience is required.
Preferred Skills, Capabilities, and Experiences
BCBA and LBA is STRONGLY PREFERRED.
For candidates working in person or virtually in the below location(s), the salary range for this specific position is $68,400 to $123,100.
Locations: California, Illinois.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Behavioral Health - Care Manager II
role at
Elevance Health
2 days ago Be among the first 25 applicants
This range is provided by Elevance Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $68,400.00/yr - $123,100.00/yr
Location Virtual: This role enables the associate to work virtually full-time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development.
Per our policy on hybrid/virtual work, 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.
The Behavioral Health - Care Manager II is responsible for managing psychiatric or autism facility‑based and outpatient professional treatment health benefits through telephonic or written review.
How You Will Make An Impact
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 autism 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.
Serves as a resource to other BH Care Managers.
Assists with more complex cases and may participate in inter and intra‑departmental team projects and initiatives.
Minimum Requirements
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and a minimum of 3 years of experience with facility‑based and/or outpatient psychiatric and substance abuse treatment; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted license such as LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT, RN or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territories of the United States is required. Licensure is a requirement for this position. For states that do not require licensure, a 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 is required.
Prior managed care experience is required.
Preferred Skills, Capabilities, and Experiences
BCBA and LBA is STRONGLY PREFERRED.
For candidates working in person or virtually in the below location(s), the salary range for this specific position is $68,400 to $123,100.
Locations: California, Illinois.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
#J-18808-Ljbffr