Behavioral Health Case Manager II - Crisis Line

Remote Full-time
About the position

The Behavioral Health Case Manager II position at Elevance Health is a critical role within our Crisis Line, designed to provide comprehensive support to members facing behavioral health and substance abuse challenges. This position operates in a remote call-center environment, allowing for flexibility while ensuring that our members receive the care they need. The ideal candidate will be located within 50 miles of one of our Elevance Health PulsePoint locations, facilitating effective communication and support for our members. The working hours for this role are Thursday to Monday or Friday to Tuesday from 4:00 pm to 12:30 am EST, with a 15% shift differential for evening hours. In this role, the Behavioral Health Case Manager II will conduct thorough clinical assessments to identify the needs of members and develop tailored care plans that address their specific objectives and goals. This involves utilizing appropriate screening criteria and clinical judgment to assess member needs effectively. The case manager will monitor and evaluate the effectiveness of these care plans, making modifications as necessary to ensure that members have access to quality and cost-effective care. Collaboration is key in this position, as the case manager will coordinate with both internal and external resources to meet the identified needs of members and work closely with healthcare providers. Additionally, the Behavioral Health Case Manager II will serve as a resource for other case managers, participate in cross-functional teams, and contribute to various projects and initiatives aimed at improving member care and outcomes. This position requires a strong background in clinical experience, particularly in managing complex psychiatric and substance abuse cases, and a commitment to supporting the health and well-being of our members.

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

Requirements
• 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 clinical experience in social work counseling with a broad range of experience with complex psychiatric and substance abuse treatment.
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• Current active unrestricted license such as RN, LCSW, LMHC, LICSW, LPC, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
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• 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.
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• Managed care experience required.

Nice-to-haves
• Previous crisis telephonic experience strongly preferred.
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• 3 years of experience with children under the age of 20 years.

Benefits
• Merit increases
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• Paid holidays
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• Paid Time Off
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• Incentive bonus programs
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• Medical benefits
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• Dental benefits
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• Vision benefits
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• Short and long-term disability benefits
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• 401(k) with matching
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• Stock purchase plan
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• Life insurance
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• Wellness programs
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• Financial education resources

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