Remote Behavioral Health Manager I (Florida)

Elevance Health; Miami (FL); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k) +match

Life insurance

Paid time off

Job summary

Elevance Health in Florida seeks a Behavioral Health Care Manager I to oversee facility-based and outpatient behavioral health benefits via telephonic or written reviews. This remote role requires licensure and Florida domicile, with work hours 9am-6pm EST and occasional in-person sessions.

The role includes UM-based eligibility assessment, case coordination, crisis evaluation, and collaboration with peers to ensure quality, cost-effective care for members, within URAC competencies.

Qualifications

• Master's degree in social work or nursing with licensure is required.
• Minimum 3 years of experience in facility-based and/or outpatient psychiatric/substance abuse treatment.
• Active unrestricted license (RN, LCSW, LMSW, LMHC, LPC, LMFT, etc.) is required.

Responsibilities

• Assess member needs using screening criteria and clinical judgment to ensure access to medically necessary behavioral health care.
• Refer cases to Peer Reviewers as appropriate.
• Coordinate and monitor psychiatric/substance abuse treatment to optimize member outcomes.
• Handle crisis calls and assess member safety.

Skills

Behavioral health

Case management

Clinical judgment

Crisis intervention

Education

MA/MS in social work

Nursing degree

Job description

Elevance Health in Florida seeks a Behavioral Health Care Manager I to oversee facility-based and outpatient behavioral health benefits via telephonic or written reviews. This remote role requires licensure and Florida domicile, with work hours 9am-6pm EST and occasional in-person sessions.

The role includes UM-based eligibility assessment, case coordination, crisis evaluation, and collaboration with peers to ensure quality, cost-effective care for members, within URAC competencies.