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Behavioral Health Care Manager I

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Elevance Health

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Location:
United States of America

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The Behavioral Health Care Manager I (2nd Shift)- North Carolina is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.

Job Responsibility:

  • Manage psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
  • Use 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
  • Refer cases to Peer Reviewers as appropriate
  • Perform psychiatric and substance abuse or 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

Requirements:

  • MA/MS in social work counseling or a related behavioral health field or a degree in nursing
  • Minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
  • Current active unrestricted license, such as 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 applicable states or territory of the United States required
  • Licensure is a requirement for this position
  • 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

Nice to have:

  • Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases
  • Bilingual in Spanish
  • For URAC accredited areas, the following professional competencies apply: strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
What we offer:
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • 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
  • Financial education resources

Additional Information:

Job Posted:
January 05, 2026

Expiration:
January 16, 2026

Employment Type:
Fulltime
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