Behavioral Health - Care Manager II Job at Elevance Health (Virtual)

Care Management Specialist II

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Behavioral Health Care Manager II

The Behavioral Health Care Manager II is responsible for performing case managem...

Location

United States of America , Indianapolis

Salary:

Not provided

Elevance Health

Expiration Date

January 12, 2026

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
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

Job Responsibility

Responds to more complex cases and account specific requests
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment
Monitors and evaluates effectiveness of care plan and modifies plan as needed
Supports member access to appropriate quality and cost effective care
Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers
Serves as a resource to other BH Case Mgrs
Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives

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

Fulltime

!

New

Medical Assistant III

You have a purpose, unique talents and now is the time to embrace it, live it an...

Location

United States , Westminster

Salary:

19.05 - 28.85 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Minimum 1 year performing as a Medical Assistant II within the company
Maintain good standing as an Associate
Received Approval from the Practice Manager prior to applying to MA 3
Compile a Portfolio/E Portfolio of the following Educational and Project requirements: Successful completion of at least one practice improvement project, for the clinic that has been approved by Practice Manager and the MA CLRB (Medical Assistant Clinical Ladder Review Board)
Successful completion of all Medical Assistant Core Skills, as well as Additional competencies which are specialty specific, as defined within the Scope of Practice for Medical Assistants
Successful completion of Preceptorship training at company
Successful practice as an MA Preceptor for at least 6 months or more in a company clinic
Completion of minimum of 4 hours in your area of focus related to professional behavior and communication (LEARN/CE Direct/Elsevier/Professional Organizations)
Completion of minimum of 8 hours in your area of focus related to clinical competency (LEARN/CE Direct/Elsevier/Professional Organizations)
HS/GED diploma

Job Responsibility

Assumes a supportive role and has responsibility and accountability for facilitating, communicating, and collaborating with both the healthcare team, and the patient/family to identify and meet the physical, emotional and spiritual needs of the patient
Promotes the optimal health, wellbeing and safety of the patient in accordance with patient care standards, guidelines and the delegation of medical services as defined by State Medical Practice Act
May perform a variety of clinical tasks as directed by an authorized health care provider
May assist with front office duties and scheduling of tests and/or patient appointments
Responsible for accurate chart documentation and medical record maintenance
Attends in-service presentations and seminars to facilitate personal and professional growth
Demonstrates personal accountability for relationship-based care, organizational mission, and core values
Completes a Preceptorship training program successfully, and practices as a Preceptor to Medical Assistants
Actively involved and/or assumes leadership role in practice improvement projects for the clinic
Assess patient’s physical, psychosocial, cultural and spiritual needs through observation, interview, review of medical records & clinical data

What we offer

Medical
prescription drug
dental
vision plans
life insurance
paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

New

Staff Accountant

We are looking for an experienced Staff Accountant to join our team in Houston, ...

Location

United States , Houston

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 7 years’ experience in accounting roles
Proficiency in QuickBooks Desktop and familiarity with My Quick Cloud
Strong knowledge of journal entries and general ledger management
Expertise in bank reconciliations and account reconciliation
Ability to work in an office environment, Monday through Friday from 8 AM to 5 PM
Exceptional attention to detail and organizational skills
Effective communication skills for collaborating with team members
Proven ability to meet deadlines and handle multiple priorities

Job Responsibility

Perform full-cycle accounting tasks, including journal entries and general ledger management
Ensure all financial transactions are accurately allocated to the correct general ledger accounts
Conduct bank reconciliations and balance sheet account reconciliations to maintain financial accuracy
Review and clean up accounting records, ensuring compliance with established procedures
Utilize QuickBooks Desktop and My Quick Cloud to manage financial data efficiently
Collaborate with the team to address discrepancies and improve accounting processes
Generate and analyze financial reports to support decision-making
Maintain adherence to deadlines for monthly, quarterly, and annual financial close processes
Provide support during audits by preparing necessary documentation and reports

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

New

Housing Strategy Officer

We are looking for a proactive Housing Strategy Officer to join our newly restru...

Location

United Kingdom , Buckinghamshire County Wide

Salary:

43894.00 - 46018.00 GBP / Year

Buckinghamshire Council

Expiration Date

January 14, 2026

Requirements

A solid background in planning and development
Knowledge of Registered Provider operations, affordable housing delivery and/or an understanding of wider housing services such as temporary accommodation
Strong data analysis skills with the ability to interpret and present insights clearly
A proactive approach to learning, with a willingness to grow and develop on the job
Confident in communicating effectively across a range of platforms and audiences

Job Responsibility

Evaluate planning applications and advise on affordable housing provision in line with policy
Lead, develop, monitor and ensure implementation of the Council’s wider Housing Strategy and its associated delivery plans
Provide insight on housing trends, risks, and best practices in a data-driven manner to inform decision-making
Maintain strong stakeholder relationships and represent the Council in forums and partnerships
Support the management team in working across the Council to ensure homelessness and housing delivery are core elements to other relevant strategies
Engage with development scheme management and the governance processes

What we offer

a fair and inclusive culture
health and well-being initiatives including an Employee Assistance Programme, Mental Health First Aiders and mindfulness workshops
a unified voice through our Employee Representative Group
ongoing support, and the opportunity to develop and progress in your career with us
opportunities to take part in fun activities such as fundraising and social events
flexible and agile working arrangements
discounts on various Cafés, restaurants, shops
auto enrolment onto our generous Pension Scheme
the chance to gain membership to Costco
discounted gym memberships

Fulltime

!

New

Senior recruiter

At Nike, Talent Acquisition is about more than just filling roles: it’s about co...

Location

Netherlands , Hilversum

Salary:

26.00 - 35.00 EUR / Hour

Randstad

Expiration Date

January 28, 2026

Requirements

Proven track record in full life-cycle recruiting, preferably within large-scale corporate environments across multiple countries
Strong understanding of the talent markets across EMEA
Deep experience in sourcing, engaging, and nurturing passive talent using advanced tools and platforms
Exceptional relationship management skills with the ability to influence hiring decisions using data and market insights
Comfortable using modern recruiting technologies (e.g., Workday ATS, CRM systems, LinkedIn Talent Insights, Smartsheets)
Speaking fluent French and English is a requirement

Job Responsibility

Build and lead tailored recruitment strategies to identify, source, and assess top talent, acting as a consultant to hiring managers
Creatively network and build long-term pipelines of qualified talent using tools like LinkedIn Recruiter and Talent Insights
Champion diversity by focusing on diverse shortlists and inclusive hiring practices
Own and drive market research projects to map talent availability and trends across the EMEA region
Act as a subject matter expert on recruitment philosophy and drive process improvements in collaboration with the wider HR team

What we offer

Access to the gym facilities on campus
Commuting allowance of € 0,23 per km
25 vacation days if you work 40 hours per week a full year
Diverse team
Work from home allowance of €5 per day on days you are working from home
8.33% holiday allowance

Fulltime

New

Test Center Administrator

We are looking for a dedicated Test Center Administrator to join our team in Nas...

Location

United States , Nashville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in an administrative or customer service role
Proficiency with computer applications and web-based platforms
Strong attention to detail and ability to enforce testing rules consistently
Excellent communication skills to interact effectively with test-takers
Ability to perform frequent physical movements, including walking and standing for extended periods
Familiarity with identity verification processes and security protocols
Capability to manage multiple tasks and maintain composure in a busy environment
Flexibility to work on Monday and Saturday as required

Job Responsibility

Welcome visitors and assist them with the check-in process, including verifying their identification
Monitor the testing center regularly, performing security checks to ensure compliance with testing protocols
Conduct periodic walkthroughs of the testing area to prevent prohibited activities and uphold testing standards
Provide guidance to test-takers on rules and procedures, ensuring they understand the requirements
Check for unauthorized materials such as calculators, notes, or electronic devices prior to testing
Use computer systems and applications to manage web-based testing processes efficiently
Perform light administrative tasks to support the daily operations of the testing center
Address any issues or questions from test-takers promptly and in a courteous manner
Ensure the testing environment is clean, organized, and conducive to focus
Collaborate with team members to maintain a high standard of service and security

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Behavioral Health - Care Manager II

Elevance Health

Location:
United States of America , Virtual

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 05, 2026

Expiration:
January 12, 2026

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