Behavioral Health Case Manager 1 - Adults

Elevance Health • Richmond, VA

2d • Remote

About The Position

Behavioral Health Case Manager I Work location : Virginia - Ideal candidates will reside in: Hanover, Chesterfield, City of Richmond, Henrico, Amelia, Goochland, Powhatan, Colonial Heights, Petersburg, Hopewell, Prince George, Dinwiddie, New Kent, or Charles City. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position specific details: The Behavioral Health Case Manager I will work with our member population with serious mental illness and substance use disorder and could be required for meeting with members in person as per contractual requirements or as requested by the member. The successful candidate will be domiciled and hold an independent licensure in Virginia. The Behavioral Health Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. How you will make an impact: Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

Requirements

• Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex 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 (as applicable by state law and scope of practice) LMHC LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in Virginia is required.

Nice To Haves

• Knowledge and working experience in Medicare and Medicaid is strongly preferred.
• Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.
• Experience working with specialty populations preferred.
• Prior experience working with the Community Services Board (CSB), community mental health agency and/or ARTS facility is strongly preferred.

Responsibilities

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.
• Monitors and evaluates effectiveness of care plan and modifies plan as needed.
• Supports member access to appropriate quality and cost effective care.
• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees