BH Care Manager I - Applied Behavioral Analysis at Elevance Health in Winston-Salem, North Carolina

Job Description:

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.



BH Care Manager I (Applied Behavioral Analysis) - North Carolina




*Candidate must live AND be licensed in the state of North Carolina.



Location: This position is primarily a virtual/remote role. Ideal candidates Must live within 50 miles of either the Durham or Winston-Salem, North Carolina Elevance Health Corporate office(s).



Work Shift: Monday through Friday, 8 am to 5 pm (EST) and with rotating Holiday coverage.



The BH Care Manager I (Applied Behavioral Analysis) is responsible for managing psychiatric and substance abuse health benefits through telephonic or written review and providing clinical crisis support of the 24/7/365 Behavioral Health Crisis Line.



How you will 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.
  
  


• Refers cases to Peer Reviewers as appropriate.
  
  


• Performs psychiatric and 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.
  
  


• Provides clinical crisis support to members who utilize the 24/7/365 Behavioral Health Crisis Line.
  
  

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 experience with facility-based and/or outpatient psychiatric and substance abuse treatment; or any combination of education and experience which would provide an equivalent background.
  
  


• 
  Current, active, unrestricted license, such as either a LCMHC, LCSW, RN (must have experience in behavioral health) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of North Carolina.
  
  
  


• Licensure is a requirement for this position.
  
  


• 
  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.
  
  


• Previous experience with crisis supports for individuals impacted by a mental health or substance abuse related crisis.
  
  

Preferred Skills, Capabilities and Experiences:

• Bilingual communication skills in English and Spanish.
  
  


• Previous utilization management experience highly desirable.
  
  


• Experience with taking crisis line calls strongly preferred.
  
  


• 
  Applied Behavioral Analysis (ABA) Services (BCBA).
  
  
  

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.

Who We Are

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 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 operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance. Apply Now