BH Case Manager Lead

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The BH Case Manager Lead is responsible for coordinating operations and workflows related to care management activities that support the Case Management Program. The BH Case Manager Lead is primarily member facing and involves complete clinical assessments. 

How you will make an impact:

• Provides support to member facing BH Case Managers and other Care management associates.
• Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment.
• Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved.
• Facilitates weekly clinical rounds and may conduct quality audits.
• Works with the manager to ensure individual team and overall operational metrics are achieved.
• Supports various projects and initiatives as assigned.
• Assists with process improvement activities for regulatory requirements.
• Acts as departmental liaison to other areas of the business unit.
• Primary support with training/mentoring new hires.
• Participates in cross-functional teams projects and initiatives.
• Serves as a member of the leadership team.

Minimum Requirements:

• Requires MA/MS in social work  counseling or a related behavioral health field or a degree in nursing, and minimum of 5 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 (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.
• Managed care experience required.

Preferred Skills, Capabilities, and Experiences:

• Prior experience working with schools and adolescents strongly preferred.
• Extensive 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.
• 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.
• Experience in health coaching and motivational interviewing techniques preferred.