Behavioral Health Care Manager overseeing professional treatment health benefits related to psychiatric and substance abuse disorders at Elevance Health. Requires master's degree and active license in relevant states.
Responsibilities
Managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
Assess member needs to ensure access to medically necessary quality behavioral healthcare
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
Requirements
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 or substance abuse disorder treatment
Current active unrestricted license, such as LCSW LMSW LMHC LPC, LMFT or Clinical Psychologist to practice
For states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable
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 is preferred
Strong oral, written and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills
Benefits
merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources
Job title
Behavioral Health Care Manager I – Bilingual Preferred
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