Behavioral Health Care Manager II at Elevance Health Walnut Creek, CA
Elevance Health, Walnut Creek, CA, United States
Behavioral Health Care Manager II job at Elevance Health. Walnut Creek, CA.
Title: Behavioral Health Care Manager II
Cerritos, CA
Walnut Creek, CA
Woodland Hills, CA
This role enables associates to work virtually full-time with the exception of required in‑person training sessions, 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 an accommodation is granted as required by law.
Responsibilities
The Behavioral Health Care Manager II is responsible for managing psychiatric and substance‑abuse treatment both facility‑based and outpatient, through telephonic or written review.
Use appropriate screening criteria, knowledge and clinical judgment to assess member needs, ensuring access to medically necessary quality behavioral healthcare in a cost‑effective setting in accordance with UM Clinical Guidelines and contract.
Refer cases to peer reviewers as appropriate.
Perform psychiatric and substance‑abuse or substance‑abuse disorder assessment, coordination, implementation, case‑planning, monitoring and evaluation to promote quality member outcomes and to optimize member health benefits and community resources.
Serve as a resource to other BH Care Managers.
Assist with more complex cases and participate in inter‑ and intra‑departmental 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 a 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 that provides an equivalent background.
Current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA (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 territories is required.
Licensure is a requirement for this position. For states that do not require licensure, a Board‑Certified Behavioral Analyst (BCBA) is also acceptable if the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.
Previous experience in case management/utilization management with a broad range of complex psychiatric/substance‑abuse cases is required.
Prior managed care experience is required.
Preferred Skills and Experience
California licensure with LCSW, LMFT, LPC, Psych, RN or Clinical Psychologist preferred.
Proficiency in Microsoft Office Suite (Word and Outlook) preferred.
Ability to quickly learn and adapt to new technologies preferred.
Previous experience in utilization management with a broad range of complex psychiatric/substance‑abuse cases preferred.
For URAC accredited areas, the following professional competencies apply: strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills.
Compensation
The salary range for this position is $78,660.00 – $117,990.00. The salary is based on a number of legitimate non‑discriminatory factors set by the Company.
Job Details
Job Level: Non‑Management Exempt
Job Family: MED > Licensed/Certified Behavioral Health Role
Benefits
In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (subject to eligibility requirements).
Equal Opportunity Employer
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 the company for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Title: Behavioral Health Care Manager II
Cerritos, CA
Walnut Creek, CA
Woodland Hills, CA
This role enables associates to work virtually full-time with the exception of required in‑person training sessions, 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 an accommodation is granted as required by law.
Responsibilities
The Behavioral Health Care Manager II is responsible for managing psychiatric and substance‑abuse treatment both facility‑based and outpatient, through telephonic or written review.
Use appropriate screening criteria, knowledge and clinical judgment to assess member needs, ensuring access to medically necessary quality behavioral healthcare in a cost‑effective setting in accordance with UM Clinical Guidelines and contract.
Refer cases to peer reviewers as appropriate.
Perform psychiatric and substance‑abuse or substance‑abuse disorder assessment, coordination, implementation, case‑planning, monitoring and evaluation to promote quality member outcomes and to optimize member health benefits and community resources.
Serve as a resource to other BH Care Managers.
Assist with more complex cases and participate in inter‑ and intra‑departmental 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 a 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 that provides an equivalent background.
Current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA (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 territories is required.
Licensure is a requirement for this position. For states that do not require licensure, a Board‑Certified Behavioral Analyst (BCBA) is also acceptable if the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.
Previous experience in case management/utilization management with a broad range of complex psychiatric/substance‑abuse cases is required.
Prior managed care experience is required.
Preferred Skills and Experience
California licensure with LCSW, LMFT, LPC, Psych, RN or Clinical Psychologist preferred.
Proficiency in Microsoft Office Suite (Word and Outlook) preferred.
Ability to quickly learn and adapt to new technologies preferred.
Previous experience in utilization management with a broad range of complex psychiatric/substance‑abuse cases preferred.
For URAC accredited areas, the following professional competencies apply: strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills.
Compensation
The salary range for this position is $78,660.00 – $117,990.00. The salary is based on a number of legitimate non‑discriminatory factors set by the Company.
Job Details
Job Level: Non‑Management Exempt
Job Family: MED > Licensed/Certified Behavioral Health Role
Benefits
In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (subject to eligibility requirements).
Equal Opportunity Employer
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 the company for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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