Behavioral Case Manager II

Anticipated End Date:

Behavioral Case Manager II

Behavioral Case Manager II
- Licensed/Certified Behavioral Health Role

The selected candidate must reside in the state of Virginia.

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement.

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.

The Behavioral Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.

• Provide case management services to individuals with serious mental illness (SMI), including those with co‑occurring substance use disorders and/or significant physical health conditions.
• Deliver services primarily through telephonic outreach, with the possibility of in‑person/face‑to‑face visits when clinically necessary.
• Conduct regular outreach to assigned members to build rapport, assess needs, link to needed services/resources and provide short‑term support (up to 6 months).
• Support members by helping them navigate urgent and non‑urgent needs and connecting them to appropriate resources.
• Respond to more complex cases and account specific requests.
• Use appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conduct assessments to identify individual needs and develop specific care plans to address objectives and goals as identified during assessment.
• Monitor and evaluate effectiveness of care plan and modify plan as needed.
• Support member access to appropriate quality and cost‑effective care.
• Coordinate with internal and external resources to meet identified needs of the members and collaborate with providers.
• Serve as a resource to other BH Case Mgrs.
• Participate in cross‑functional teams projects and initiatives.

• Requires 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 a 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 license such as RN, LCSW, LMHC, LICSW, LPC (as allowed by applicable state laws), LMFT, LMSW (as allowed by applicable state laws) 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 and telephonic and/or in‑person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.

• Experience in health coaching and motivational interviewing techniques preferred.
• Knowledge of behavioral health systems of care in Virginia strongly preferred.
• Strong written and verbal documentation skills strongly preferred.
• Intermediate to advanced Microsoft Office usage strongly preferred.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions.

Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division…