Elevance Health
Behavioral Health Care Manager I (Day Shift)
Elevance Health, Columbus, Ohio, United States, 43224
Behavioral Health Care Manager I (Day Shift)
4 days ago Be among the first 25 applicants
Base pay range $62,640.00/yr - $93,960.00/yr
Location & Working Mode Virtual (full‑time with required in‑person training). Only candidates within a reasonable commuting distance to the posting location(s) are considered.
North Carolina and Ohio (Columbus, OH and Cleveland, OH)
Work Shift Options
Monday‑Friday 8am‑5pm EST
Monday‑Friday 9am‑6pm EST
Monday‑Friday 11am‑8pm EST
Responsibilities
Use appropriate screening criteria knowledge and clinical judgment to assess member needs and ensure access to medically necessary, quality behavioral healthcare in a cost‑effective setting in accordance with UM Clinical Guidelines and contract.
Refer cases to Peer Reviewers as appropriate.
Perform psychiatric and substance abuse or substance abuse disorder assessment coordination, implementation, case planning, monitoring, and evaluation to promote quality member outcomes, optimize member health benefits, and 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 highly preferred.
Utilization Management experience preferred.
Previous crisis hotline experience preferred.
Benefits In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements).
Equal Employment Opportunity Statement 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, and 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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Base pay range $62,640.00/yr - $93,960.00/yr
Location & Working Mode Virtual (full‑time with required in‑person training). Only candidates within a reasonable commuting distance to the posting location(s) are considered.
North Carolina and Ohio (Columbus, OH and Cleveland, OH)
Work Shift Options
Monday‑Friday 8am‑5pm EST
Monday‑Friday 9am‑6pm EST
Monday‑Friday 11am‑8pm EST
Responsibilities
Use appropriate screening criteria knowledge and clinical judgment to assess member needs and ensure access to medically necessary, quality behavioral healthcare in a cost‑effective setting in accordance with UM Clinical Guidelines and contract.
Refer cases to Peer Reviewers as appropriate.
Perform psychiatric and substance abuse or substance abuse disorder assessment coordination, implementation, case planning, monitoring, and evaluation to promote quality member outcomes, optimize member health benefits, and 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 highly preferred.
Utilization Management experience preferred.
Previous crisis hotline experience preferred.
Benefits In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements).
Equal Employment Opportunity Statement 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, and 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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