Behavioral Health Care Manager ; 3rd Shift

Join to apply for the Behavioral Health Care Manager I (3rd Shift
-After Hours) role at Elevance Health

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Join to apply for the Behavioral Health Care Manager I (3rd Shift
-After Hours) role at Elevance Health

Behavioral Health Care Manager I (3rd Shift
-After Hours)

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.

Location: Durham, NC and Winston Salem, NC

Work Shift

11PM - 7AM (EST). Every other weekend commitment includes working two 12-hour shifts from 8 AM to 8 PM on both Saturday and Sunday. (Weekly

Hours:

40).

* Team members are required to work on holidays as part of a rotating schedule.

The Behavioral Health Care Manager I (3rd Shift
-After Hours) is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.

How you will make an impact

Primary duties may include but are not limited to:

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.

Refers cases to Peer Reviewers as appropriate.

Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.

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 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.

Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision

Preferred Skills, Capabilities and Experiences:

Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.

Bilingual in Spanish is highly preferred

Utilization Management experince is preferred

Previous crisis hotline is preferred

For URAC accredited areas, the following professional competencies apply:
Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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…