Behavioral Health Care Manager I

Elevance Health; Indianapolis (IN); Hybrid; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a Behavioral Health Care Manager I to enhance the quality of care for members facing psychiatric and substance abuse challenges. This role involves assessing member needs, managing treatment benefits, and ensuring effective utilization of healthcare resources. The successful candidate will thrive in a hybrid work environment, balancing remote work with on-site collaboration. Join a team dedicated to making healthcare simpler and improving lives within the community. If you are passionate about behavioral health and have the required qualifications, this is an exciting opportunity to make a meaningful impact.

Benefits

401(k) + match

Paid Time Off

Medical benefits

Dental benefits

Vision benefits

Incentive bonus programs

Wellness programs

Financial education resources

Qualifications

• Requires MA/MS in social work or related field and 3 years of experience.
• Current active unrestricted license to practice as a health professional is required.

Responsibilities

• Manage psychiatric and substance abuse treatment benefits via telephonic review.
• Assess member needs to ensure access to quality behavioral healthcare.

Skills

Clinical Judgment

Behavioral Healthcare Assessment

Case Management

Utilization Management

Education

MA/MS in Social Work

Degree in Nursing

Job description

Anticipated End Date:

2025-05-15

Position Title:

Behavioral Health Care Manager I

Job Description:

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialist programs for autism and depression, and insightful analytics to improve the delivery of care.

Behavioral Health Care Manager I

Location: 220 Virginia Ave., Indianapolis, IN 42604

This is a virtual role. However, the selected candidate must live within 50-miles radius/1-hour commute to the Elevance Health PulsePoint office listed above.

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.

How You Will Make an Impact:

Primary duties may include but are not limited to:

• 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.

Minimum 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.
• Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
• Licensure is a requirement for this position.
• Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed/Certified Behavioral Health Role

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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 operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.