Behavioral Health Care Manager I

Behavioral Health Care Manager I - North Carolina *Must Have an Active, Current Clinical Licensure in the state of North Carolina . Location: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office  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. Work Shift: Monday - Friday, 8:00 am - 4:30 pm (EST) (some flexibility with start/end time) The Behavioral Health Care Manager I is responsible for assessing the clinical need of a provider’s request for a beneficiary to receive the 1915i waiver by reviewing the provider’s assessment submitted for support services in collaboration with North Carolina Medicaid.      How will you make an impact:  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.  Performs 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 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 either a RN, LCSW, LCMHC, LPC, LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of North Carolina is a requirement for this position .  Preferred Skills, Capabilities and Experiences: Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.  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 Please be advised that 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 a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus