Elevance Health
Behavioral Health Care Manager I (Day Shift)
Elevance Health, Raleigh, North Carolina, United States, 27601
Behavioral Health Care Manager I (Day Shift)
Location: Virtual (North Carolina and Ohio). This role enables associates to work fully remotely, with the exception of required in‑person training sessions.
Work Shift Options
Monday‑Friday 8am‑5pm EST
Monday‑Friday 9am‑6pm EST
Monday‑Friday 11am‑8pm EST
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 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.
Minimum Requirements Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility‑based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license, such as RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, 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.
Preferred Skills, Capabilities and Experiences
Willing to get an OH License or a NC License
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.
Bilingual in Spanish is highly preferred.
Utilization Management experience is preferred.
Previous crisis hotline experience preferred.
Salary and Locations For candidates working in person or virtually in the location(s) listed below, the salary* range for this specific position is $62,640.00 to $93,960.00.
Locations: Columbus, OH; Cleveland, OH.
Benefits Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution. The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company.
Equal Opportunity Employer 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.
#J-18808-Ljbffr
Work Shift Options
Monday‑Friday 8am‑5pm EST
Monday‑Friday 9am‑6pm EST
Monday‑Friday 11am‑8pm EST
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 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.
Minimum Requirements Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility‑based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license, such as RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, 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.
Preferred Skills, Capabilities and Experiences
Willing to get an OH License or a NC License
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.
Bilingual in Spanish is highly preferred.
Utilization Management experience is preferred.
Previous crisis hotline experience preferred.
Salary and Locations For candidates working in person or virtually in the location(s) listed below, the salary* range for this specific position is $62,640.00 to $93,960.00.
Locations: Columbus, OH; Cleveland, OH.
Benefits Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution. The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company.
Equal Opportunity Employer 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.
#J-18808-Ljbffr