Behavioral Health Care Manager ; 3rd Shift

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

Virtual: This role enables associates to work virtually full‑time, except for 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.

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: North Carolina

Work Shift: 3rd Shift – Holiday and weekend work are required (Monday–Friday 11:30 PM–8:00 AM).

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.

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 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 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 would provide an equivalent background. Current active unrestricted license, such as RN, LCSW, LMSW, LMHC, LPC, LBA, 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.

• Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.
• Bilingual in Spanish is strongly preferred.

For URAC accredited areas, associates in this role are expected to have strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills.

We offer a range of market‑competitive total rewards that include merit increases, paid holidays, paid time off, incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short‑ and long‑term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health accepts resumes for compensation only 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.