Behavioral Health Care Manager II

Anticipated End Date:

Position Title: Behavioral Health Care Manager II

Job Description:

Behavioral Health Care Manager I

Location: This is a virtual eligible role supporting Connecticut Medicaid. Connecticut residency is required.

Hours: 8:30am - 5:00pm, Monday through Friday.

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.

The Behavioral Health Care Manager II is a utilization management role responsible for managing psychiatric and substance abuse or substance abuse disorder facility‑based and outpatient professional treatment health benefits through telephonic or written review.

• 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.
• Will serve as a resource to other BH Care Managers.
• Assists with more complex cases and may participate in inter and intradepartmental teams, projects and initiatives.

• 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, which would provide an equivalent background.
• Current active unrestricted license such as LCSW, LMSW, LMHC, LPC, LMFT, RN, or Clinical Psychologist to practice as a health professional within the state of Connecticut is required.
• Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases is required.
• Prior managed care experience is required.

• Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: MED >
Licensed/Certified Behavioral Health Role

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.

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 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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.