Behavioral Health Care Manager ; UM​/UR

Behavioral Health Care Manager I

Behavioral Health Care Manager I is a proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offering superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Locations: California – Woodland Hills, Costa Mesa, Walnut Creek, Cerritos, Rancho Cordova, Los Angeles, Sacramento

Hours: 8:30 am – 5:00 pm, PST

Virtual Availability: This role allows associates to work virtually full-time, with the exception of required in‑person training sessions. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.

Responsibilities include managing psychiatric and substance abuse or substance abuse disorder facility‑based and outpatient professional treatment health benefits through telephonic or written review.

• Uses 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 evaluation to promote quality member outcomes, optimize member health benefits and promote effective use of health benefits and community resources.

• 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 which would provide an equivalent background.
• Current active unrestricted license such as LCSW, LMSW, LMHC, LPC, LMFT, RN, or Clinical Psychologist to practice within the scope of licensure from the state of California.

• Previous experience in utilization management with a broad range of complex psychiatric/substance abuse cases – facility based – is preferred.
• Proficiency in Microsoft Office Suite, including Word and Outlook.
• Ability to quickly learn and adapt to new technologies.
• Strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills.

Salary range: $70,664 – $115,632 per year. Salary will be based on legitimate, non‑discriminatory factors set by the Company.

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401(k) contribution, medical, dental, vision, short and long term disability benefits, and more.

Elevance Health is a Fortune 25 company dedicated to improving lives and communities. We offer market‑competitive total rewards and a hybrid workforce strategy. We require vaccination against COVID‑19 and Influenza for certain roles.

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 elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state, and local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.