Elevance Health
Behavioral Health Care Manager II, UM
Elevance Health, Sacramento, California, United States, 95828
Join to apply for the
Behavioral Health Care Manager II, UM
role at
Elevance Health .
Base pay range $68.40/hr - $123,120.00/hr
Location:
California
Virtual:
This role enables associates to work virtually full‑time, with exceptions for required in‑person training sessions. Candidates must be within a reasonable commuting distance unless accommodations are granted.
Work hours:
8:30 am – 5:00 pm PST
How You Will Make An Impact
Uses screening criteria knowledge and clinical judgment to assess member needs, ensuring access to medically necessary, high‑quality behavioral health care in a cost‑effective setting in accordance with UM Clinical Guidelines and contract.
Refers cases to peer reviewers as appropriate.
Performs psychiatric hyö and substance‑abuse or substance‑abuse disorder assessment coordination, implementation, case planning, monitoring, and evaluation to promote quality member outcomes and optimize member health benefits.
Serves as a resource to other BH Care Managers.
Assists with more complex cases and participates in inter‑ and intradepartmental teams, projects and initiatives.
Minimum Qualifications
Requires MA/MS in social work counseling or a related behavioral health field, or a degree in nursing, plus a minimum of 3 years’ experience with facility‑based and/or outpatient psychiatric and substance‑abuse or substance‑abuse disorder treatment; or an equivalent education/experience combination.
Current active, unrestricted license (RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist) to practice in California is required.
Previous experience in case management/utilization management with a broad range of complex psychiatric/substance‑abuse cases required.
Prior managed‑care experience required.
Preferred Skills, Capabilities and Experiences
Experience in case management/utilization management and complex psychiatric/substance‑abuse cases preferred.
Strong Microsoft Office suite experience preferred.
Excellent oral, written, and interpersonal communication, problem‑solving, facilitation, and analytical skills.
Benefits and Compensation In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility). The salary offered is based on factors set by the Company and may vary by geography, experience, education, and skill level. Elevance Health is committed to equal pay for equal work for all protected categories in compliance with pay‑equity laws.
Health & Safety Requirements All new candidates in certain patient/member‑facing roles are required to be vaccinated against COVID‑19 and influenza. Offers may be rescinded for individuals who are not vaccinated unless an acceptable explanation is provided.
Hybrid Workforce Strategy Elevance Health operates a hybrid workforce strategy. Unless indicated otherwise, associates are required to work on‑site at least once per week, with additional on‑site days discussed during the hiring process.
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, 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 the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Other
Industries Individual and Family Services
#J-18808-Ljbffr
Behavioral Health Care Manager II, UM
role at
Elevance Health .
Base pay range $68.40/hr - $123,120.00/hr
Location:
California
Virtual:
This role enables associates to work virtually full‑time, with exceptions for required in‑person training sessions. Candidates must be within a reasonable commuting distance unless accommodations are granted.
Work hours:
8:30 am – 5:00 pm PST
How You Will Make An Impact
Uses screening criteria knowledge and clinical judgment to assess member needs, ensuring access to medically necessary, high‑quality behavioral health care in a cost‑effective setting in accordance with UM Clinical Guidelines and contract.
Refers cases to peer reviewers as appropriate.
Performs psychiatric hyö and substance‑abuse or substance‑abuse disorder assessment coordination, implementation, case planning, monitoring, and evaluation to promote quality member outcomes and optimize member health benefits.
Serves as a resource to other BH Care Managers.
Assists with more complex cases and participates in inter‑ and intradepartmental teams, projects and initiatives.
Minimum Qualifications
Requires MA/MS in social work counseling or a related behavioral health field, or a degree in nursing, plus a minimum of 3 years’ experience with facility‑based and/or outpatient psychiatric and substance‑abuse or substance‑abuse disorder treatment; or an equivalent education/experience combination.
Current active, unrestricted license (RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist) to practice in California is required.
Previous experience in case management/utilization management with a broad range of complex psychiatric/substance‑abuse cases required.
Prior managed‑care experience required.
Preferred Skills, Capabilities and Experiences
Experience in case management/utilization management and complex psychiatric/substance‑abuse cases preferred.
Strong Microsoft Office suite experience preferred.
Excellent oral, written, and interpersonal communication, problem‑solving, facilitation, and analytical skills.
Benefits and Compensation In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility). The salary offered is based on factors set by the Company and may vary by geography, experience, education, and skill level. Elevance Health is committed to equal pay for equal work for all protected categories in compliance with pay‑equity laws.
Health & Safety Requirements All new candidates in certain patient/member‑facing roles are required to be vaccinated against COVID‑19 and influenza. Offers may be rescinded for individuals who are not vaccinated unless an acceptable explanation is provided.
Hybrid Workforce Strategy Elevance Health operates a hybrid workforce strategy. Unless indicated otherwise, associates are required to work on‑site at least once per week, with additional on‑site days discussed during the hiring process.
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, 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 the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Other
Industries Individual and Family Services
#J-18808-Ljbffr