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Behavioral Health Care Manager I

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Elevance Health

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Location:
United States of America , Costa Mesa

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

72036.00 - 108054.00 USD / Year
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Job Description:

The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis intervention, assessment and short-term problem resolution and referral to appropriate provider(s).

Job Responsibility:

  • conducting utilization management reviews for mental health and substance use disorder inpatient and outpatient benefits through telephonic and written processes
  • provides telephonic support for crisis intervention, assessment and short-term problem resolution and referral to appropriate provider(s)
  • 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 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:

  • Requires 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
  • any combination of education and experience which would provide an equivalent background
  • Current active unrestricted license, such as RN LCSW LMSW LMHC LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure
  • Licensure is a requirement for this position
  • Candidates must reside and be licensed in California.

Nice to have:

  • strong oral, written, and interpersonal communication abilities
  • excellent problem-solving, facilitation, independent decision-making, and analytical skills
  • proficiency in MS Office
  • strong technical aptitude
What we offer:
  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • 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 12, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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