Behavioral Health Case Manager II

Elevance Health•Indianapolis, IN

18h•Remote

About The Position

Responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. This is a virtual eligible role, requiring Indiana residency. The role operates during general business hours, Monday through Friday, in the Eastern time zone, offering full-time virtual work with occasional in-person training sessions. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Candidates must be within a reasonable commuting distance from the posting location(s) unless an accommodation is granted. The position involves responding to complex cases, using screening criteria and clinical judgment to assess member needs, developing and monitoring care plans, supporting member access to care, and coordinating with internal and external resources. The role also serves as a resource to other BH Case Managers and participates in cross-functional teams and initiatives.

Requirements

MA/MS in social work counseling or a related behavioral health field, or a degree in nursing.
Minimum of 3 years of 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 LCSW, LMHC, LPC, LMFT, LMSW, RN or Clinical Psychologist to practice as a health professional issued by the state of Indiana is required.
Previous 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.
Managed care experience required.

Nice To Haves

Experience working with members who have serious mental illness (SMI) is strongly preferred.
Experience with SDOH needs/barriers (food, housing, transportation, etc.) preferred.
Physical health case management (whole health) is very helpful for this role.
Experience with care coordination and discharge planning is preferred.

Responsibilities

Performs case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
Responds to more complex cases and account specific requests.
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts assessments to identify individual needs and develops specific 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.
Serves as a resource to other BH Case Mgrs.
Participates in cross-functional teams projects and initiatives.