Behavioral Health Care Manager II

Elevance Health; California (MO); Remote; USD 78,000 - 118,000; Full time

Job summary

A leading health company is seeking a Behavioral Health Care Manager II to oversee psychiatric and substance abuse treatment, ensuring quality healthcare through effective management. Candidates must have an MA/MS in a relevant field and a license to practice in California. This role allows for remote work with occasional in-person training. Competitive compensation is provided based on experience and market conditions.

Benefits

Paid Time Off

401(k) with match

Health and wellness programs

Qualifications

• Requires prior managed care experience.
• Experience with facility-based and outpatient psychiatric care.
• Must have proficiency in case management.

Responsibilities

• Manage psychiatric and substance abuse treatment plans.
• Perform timely Behavioral Health utilization reviews.
• Coordinate care and address barriers to treatment.

Skills

Clinical judgment

Organizational skills

IT platform navigation

Education

MA/MS in social work, counseling, or a related field

Active unrestricted license in California

Job description

Job Description

Behavioral Health Care Manager II

Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.

Location

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), 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 accommodation is granted as required by law.

How will you make an impact

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.

Ability to work with all levels of care with an emphasis on Outpatient Providers.

Performs timely Behavioral Health utilization reviews.

Work with multidisciplinary teams to facilitate continuity of care and seamless transitions between levels of service.

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.

Identify and address barriers to treatment to improve client engagement and outcomes.

Maintain accurate and complete documentation of reviews, decisions, and care plans.

Will serve as a resource to other BH Care Managers.

Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.

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 LPC (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. However, for states that do not require 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.

Prior managed care experience required.

Preferred Skills, Capabilities, and Experiences

Proficiency in simultaneously navigating multiple IT platforms.

Outstanding organizational skills.

Prior experience in case management and utilization management, particularly with complex psychiatric and substance abuse cases, is needed.

Must be licensed in California.

Salary Range

• $78,660 to $117,990.
• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and / or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market / business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, and any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level

Non‑Management Exempt

Workshift

1st Shift (United States of America)

Job Family

MED >

Licensed / Certified Behavioral Health Role

Licensed / Certified Behavioral Health Role

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.

Benefits & Rewards

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.

Workforce Strategy

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.

Health & Safety

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.

Equal Employment Opportunity

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 [contact information].