Behavioral Health Case Manager ll
4 weeks ago
This position requires a skilled Behavioral Health Case Manager ll to perform case management telephonically for members with behavioral health and substance abuse or substance abuse disorder needs. The ideal candidate will have expertise in targeted clinical areas such as Drug and Alcohol Abuse.
Key Responsibilities
Responds to more complex cases and account specific requests.
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts assessments to identify individual needs and develops specific care plans to address objectives and goals as identified during assessment.
Utilizes Motivational Interviewing Techniques to encourage and facilitate change.
Monitors and evaluates effectiveness of care plan and modifies plan as needed.
Supports member access to appropriate quality and cost-effective care.
Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
Requirements
MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex 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 Washington, D.C. license such as RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW, or Clinical Psychologist to practice as a health professional in the Washington, D.C. market required.
Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
Managed care experience required.
Preferred Qualifications
Telephonic case management strongly preferred.
Experience working with the Medicaid population preferred.
Background in coordination of community resources.
Experience in health coaching and motivational interviewing techniques preferred.
Experience working with individuals who come from a disadvantaged, socio-economic background.
About Elevance Health
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
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.
Location
This position requires work in our Washington, D.C., 609 H Street NE office a minimum of one day each week. Washington, D.C. residents preferred. MUST reside within 50 miles and 1 hour commute of our D.C. office.
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