Behavioral Health Care Manager II

Elevance Health; Indianapolis (IN); Hybrid; USD 64,000 - 118,000; Full time

Job summary

Elevance Health seeks a Behavioral Health Care Manager II for a virtual position focusing on managing outpatient care requests. Ideal candidates hold an MA/MS in a relevant health field or nursing degree with a minimum of 3 years’ experience. The role emphasizes autonomy and requires strong communication and analytical skills to support members effectively.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contributions

Qualifications

• Minimum 3 years of experience with psychiatric and substance abuse treatment.
• Current active unrestricted license (e.g., RN, LCSW, Clinical Psychologist).
• Experience in case management/utilization management preferred.

Responsibilities

• Manage requests for Applied Behavior Analysis outpatient treatment.
• Assess member needs and ensure access to necessary behavioral healthcare.
• Coordinate and evaluate member care to optimize health benefits.

Skills

Problem-Solving

Interpersonal Communication

Analytical Skills

Education

MA/MS in social work, counseling, or related behavioral health field

Nursing Degree

Job description

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The Behavioral Health Care Manager II role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. The Behavioral Health Care Manager II is responsible for managing requests for Applied Behavior Analysis outpatient professional treatment health benefits through telephonic or written review. Primary duties include using 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; referring cases to Peer Reviewers as appropriate; performing psychiatric assessment, coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes, optimize member health benefits, and promote effective use of health benefits and community resources; serving as a resource to other BH Care Managers; assisting with more complex cases; and participating in inter- and intradepartmental teams, projects, and initiatives.

Minimum requirements include an MA/MS in social work, counseling, or a related behavioral health field, or a nursing degree, with a minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse treatment. A current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA, LMFT, or Clinical Psychologist is required to practice as a health professional within the scope of licensure in applicable states or territories of the US. For states not requiring licensure, a Board Certified Behavioral Analyst (BCBA) is acceptable if criteria are met. Previous experience in case management/utilization management with complex psychiatric/substance abuse cases and prior managed care experience are required. Preferred skills include strong oral, written, and interpersonal communication, problem-solving, facilitation, and analytical skills.

The position offers a salary range of $64,980 to $117,990 for candidates working in person or virtually in California, Illinois, Minnesota, Nevada. Elevance Health provides a comprehensive benefits package including incentive and recognition programs, equity stock purchase, and 401k contributions. The company is committed to equal pay opportunities and equal employment opportunity. Elevance Health operates a Hybrid Workforce Strategy requiring onsite presence at least once per week unless specified as primarily virtual. COVID-19 and Influenza vaccination are required for certain roles. Elevance Health is a Fortune 25 health company dedicated to improving lives and communities.