Behavioral Health Care Manager I (3rd Shift -After Hours)

Elevance Health; United States; Remote; USD 50,000 - 70,000; Full time

Benefits offered by this job

401(k) + match

Paid Time Off

Merit increases

Incentive bonus programs

Medical, dental, and vision benefits

Job summary

A health services company is looking for a Behavioral Health Care Manager I (3rd Shift) to oversee psychiatric and substance abuse treatment remotely. This role requires a Master's degree in a related field, a current license to practice, and at least three years of relevant experience. Responsibilities include assessing member needs, coordinating care, and promoting quality outcomes. Bilingual candidates and those with utilization management experience are preferred. Full-time position with hybrid options available.

Qualifications

• 3+ years of experience in psychiatric and substance abuse treatment.
• Active unrestricted license required to practice within applicable states.
• Experience in case management/utilization management preferred.

Responsibilities

• Manage psychiatric and substance abuse treatment through telephonic review.
• Ensure access to medically necessary quality behavioral healthcare.
• Coordinate assessment and case planning for member outcomes.

Skills

Clinical judgment

Bilingual in Spanish

Problem-solving skills

Interpersonal communication

Education

MA/MS in social work or related field

Current license (LCSW, LMFT)

Job description

Behavioral Health Care Manager I (3rd Shift -After Hours)

Join to apply for the Behavioral Health Care Manager I (3rd Shift -After Hours) role at Elevance Health

Behavioral Health Care Manager I (3rd Shift -After Hours)

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Join to apply for the Behavioral Health Care Manager I (3rd Shift -After Hours) role at Elevance Health

Behavioral Health Care Manager I (3rd Shift -After Hours)

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.

Location: Durham, NC and Winston Salem, NC

Work Shift

11PM - 7AM (EST). Every other weekend commitment includes working two 12-hour shifts from 8 AM to 8 PM on both Saturday and Sunday. (Weekly Hours: 40).

*Team members are required to work on holidays as part of a rotating schedule.

The Behavioral Health Care Manager I (3rd Shift -After Hours) 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.

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 LCSW LMSW LMHC LPC, 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. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision

Preferred Skills, Capabilities and Experiences:

Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.

Bilingual in Spanish is highly preferred

Utilization Management experince is preferred

Previous crisis hotline is preferred

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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] 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

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Community Services, Home Health Care Services, and Hospitals and Health Care

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