Behavioral Health Care Manager II

Elevance Health

85d • $82,080 - $123,120

About The Position

The Behavioral Health Care Manager II is responsible for managing psychiatric and substance abuse treatment health benefits through telephonic or written review. This role is primarily provider-facing but also involves some member-facing activities, such as providing verbal notifications. The position allows for virtual work full-time, with required in-person training sessions when indicated, promoting productivity and work-life integration. The work schedule is Monday to Friday, 8:30 AM to 5:00 PM EST.

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 treatment.
• Current active unrestricted license such as RN, LCSW, LMSW, LMHC, or LMFT as allowed by applicable state laws.
• Previous experience in case utilization management with complex psychiatric/substance abuse cases.
• Prior managed care experience required.

Nice To Haves

• Excellent oral and written communication skills.
• Strong interpersonal abilities.
• Exceptional problem-solving, facilitation, independent decision-making, and analytical skills.
• Proficiency in MS Office and strong technical aptitude.
• A valid New York license is necessary for this position.

Responsibilities

• Use appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Ensure access to medically necessary quality behavioral healthcare in a cost-effective setting.
• Refer cases to Peer Reviewers as appropriate.
• Perform psychiatric and substance abuse assessment coordination, implementation, case planning, monitoring, and evaluating.
• Promote quality member outcomes to optimize member health benefits.
• Serve as a resource to other BH Care Managers.
• Assist with more complex cases and participate in inter and intradepartmental teams’ projects and initiatives.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution.
• Paid Time Off and paid holidays.
• Medical, dental, and vision benefits.
• Short and long-term disability benefits.
• Wellness programs and financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Master's degree
• Number of Employees: 5,001-10,000 employees