Behavioral Health Care Manager Ii

2 weeks ago

Cerritos, United States Elevance Health Full time

Job Family: MED > Licensed/Certified Behavioral Health Role
- Type: Full time
- Date Posted: Apr 30, 2024
- Anticipated End Date: Jul 01, 2024
- Reference: JR115329

**Description**:
**Sign-on Bonus**:$3,000

The **Behavioral Care Manager **II **is responsible for completing clinical assessments, screenings, and managing crisis calls in a virtual call center setting for our members seeking mental health and/or substance use disorder treatment. This is a telephonic call center position, incumbents should be expected to take a high volume of clinical calls and be measured on quality and productivity. This position does not oversee a caseload.

**Location**:Remote work from home position. Must be licensed in the state of California.

**Schedule: 8:30am-5:00pm or 9:00am-5:30pm PST**

**How you will make an impact**:

- Supporting day to day call center clinical functions by taking live calls and making callbacks to members who called in for a screening/assessment or in crisis.
- 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.
- Outreaches to providers as necessary for Utilization Management functions.
- Collaborating with other BH Care Managers on complex cases.
- 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 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.
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
- Prior managed care experience required.

**Preferred Skills, Capabilities, and Experiences**:

- Bilingual English-Spanish skills.
- Medi-Cal or Medicaid experience preferred.
- Call Center experience preferred.
- Managed Care experience preferred.

Locations: California
- 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, or 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.

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.

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