Behavioral Health Case Manager II
Elevance Health

Job Info

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Location: Virtual within the state of Ohio; must be willing to do some community-based work

Shift: Monday - Friday; 8:00am - 5:00pm ET

*Candidate must live and be licensed within the state of Ohio*

The Behavioral Health Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with mental health and/or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as co-occurring conditions, youth with complex behavioral health needs, and addressing high utilizers of the emergency department and inpatient behavioral health services.

How you will make an impact:

• Responds to more complex cases and account specific requests.
• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
• Monitors and evaluates effectiveness of care plan and modifies plan as needed.
• Supports member access to appropriate quality and cost effective care.
• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
• Serves as a resource to other BH Case Mgrs.
• Participates in cross-functional teams projects and initiatives.

Minimum Requirements:

• 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 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 LSW (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.
• Managed care experience required.
• For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
• For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.

Preferred skills, capabilities, and experiences:

• Experience in health coaching and motivational interviewing techniques preferred.

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