Bilingual HSPRS Clinician providing intensive case management services for migrated children and families. Supporting youth through assessments, service planning, and advocacy in community settings.
About the role
- 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
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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