Behavioral Health Care Manager I - Overnights/Weekends (After-Hours Crisis Line)

About the role

The Behavioral Health Care Manager I is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary duties may include but are not limited to:

Responsibilities

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
• 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 to optimize member health benefits and to promote effective use of health benefits and community resources.

Requirements

• Requires MA/MS in social work, counseling, or a related behavioral health field, or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
• A current active unrestricted license, such as LCSW, LMSW, LMHC, LPC LMFT, RN or Clinical Psychologist to practice as a health professional within the scope of licensure from the state of North Carolina is required.

Preferred Qualifications

• Medicaid, Foster care or high-risk population experience.
• Prior Utilization Management/Case Management experience with a broad range of experience with complex psychiatric/substance abuse cases strongly preferred.
• Bilingual English-Spanish is highly preferred.
• Previous crisis hotline experience is preferred.

Skills

• You must be computer literate, including Microsoft Office (Word, Excel, Outlook) and EMR, and be comfortable using multiple screens simultaneously.

Benefits

• Elevance Health offers 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.

Pay

• Details on pay are not specified in the job posting.

Schedule

• Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
• Work Hours: Rotational as follows:
  • Week 1: Mon & Tues 11:30p-8:00a and Sat & Sun 8:00p-8:00a
  • Week 2: Tues-Fri 10:00p-8:00a (including some holidays)

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

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.

Elevance Health

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.