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BH Care Manager III

  • Job Family: Behavioral Health
  • Type: Full time
  • Date Posted:
  • Req #: JR47907

Location:

  • California, California

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Description

Location: Remote - Work From Home. Candidate must reside And be licensed in the state of California.

Working Hours: Mon. – Fri. 8:00 AM – 5:00 PM (PST)

The BH Care Manager III is responsible for managing psychiatric and outpatient professional treatment, and health benefits through telephonic or written review for applied behavioral analysis. This position is responsible for the Medicaid line of business.

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. 

  • Refers cases to Peer Reviewers as appropriate. 

  • Performs psychiatric 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. 

  • Will serve as a resource to other BH Care Managers. 

  • Assists with more complex cases and will participate in inter and intradepartmental teams projects and initiatives. 

  • Will serve as an assistant to the BH Care Manager Lead in implementing identified operational processes. 

  • Will develop expertise in specified areas of business needs to assist management with unit operations. 

  • May act as lead in the lead’s absence. 

Minimum Requirements:

  • Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 4 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, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of California . Licensure is a requirement for this position. 

  • However, for states that do not require licensure 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 required; prior managed care experience required. 

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $77,464 to $116,196 

Location:  California

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. 

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.

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