Behavioral Health - Case Manager II Job at Elevance Health (Boston)

New

Behavioral Health - Care Manager II - Autism

The Behavioral Health - Care Manager II - Autism is responsible for managing psy...

Location

United States of America , Virtual

Salary:

Not provided

Elevance Health

Expiration Date

March 27, 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
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 required
Prior managed care experience required

Job Responsibility

Managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
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
Will serve as a resource to other BH Care Managers
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

Behavioral Health - Care Manager II - Autism - BCBA - LBA

The Behavioral Health - Care Manager II - Autism is responsible for managing psy...

Location

United States of America , Virtual

Salary:

Not provided

Elevance Health

Expiration Date

March 27, 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
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 required
Prior managed care experience required

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
Serve as a resource to other BH Care Managers
Assist 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

Behavioral Case Manager II

The Behavioral Case Manager II is responsible for performing is case management ...

Location

United States , Richmond; Norfolk; Chesapeake; Hampton; Leesburg; Smithfield; Suffolk; Virginia Beach; Williamsburg

Salary:

Not provided

Elevance Health

Expiration Date

April 11, 2026

Requirements

MA/MS in social work counseling or a related behavioral health field or a degree in nursing
Minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
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
Previous 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

Job Responsibility

Provide case management services to individuals with serious mental illness (SMI), including those with co‑occurring substance use disorders and/or significant physical health conditions
Deliver services primarily through telephonic outreach, with the possibility of in‑person/face‑to‑face visits when clinically necessary
Conduct regular outreach to assigned members to build rapport, assess needs, link to needed services/resources and provide short-term support (up to 6 months)
Support members by helping them navigate urgent and non-urgent needs and connecting them to appropriate resources
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

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

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

Technical Support Engineer II - Applications

The GoFundMe Pro team is searching for our next Technical Support Engineer 2 - A...

Location

Argentina , Buenos Aires

Salary:

Not provided

GoFundMe

Expiration Date

Until further notice

Requirements

2+ years of experience in technical support engineering
Proven experience with SaaS application integrations
Expertise in CRM platforms, such as Salesforce
Excellent oral and written communication skills. Thoughtful and knowledgeable
Ability to listen, educate, and empower others
A process-oriented approach to tasks with the ability to be resourceful when a process doesn’t exist or the answer is unknown
Demonstrated ability to own and drive performance metrics
Adaptability and empathy to deliver top-notch experiences to our clients
A passion for driving community engagement
Enthusiasm for innovation, change, and thinking big

Job Responsibility

Customer experience ownership: Manage and own a customer or persona’s experience across the platform as it relates to unexpected behavior
Work with cross functional partners to triage and prioritize defects across the experience
Collaborate internally and cross functionally
Attend some scrum meetings
Support account management teams on calls as necessary
Create and maintain internal documentation related to relevant product subject matter and wider technical processes
Showcase technical communication skills
Manage escalated cases and queue health
Deeper troubleshooting of cases TSE L1 was unable to resolve
Coach TSE L1 on resolution

What we offer

Make an Impact: Be part of a mission-driven organization
Innovative Environment: Work with a diverse, passionate, and talented team
Collaborative Team: Join a fun and collaborative team
Competitive Benefits: Enjoy competitive pay and comprehensive healthcare benefits
Holistic Support: Enjoy financial assistance for things like hybrid work, family planning, along with generous parental leave, flexible time-off policies, and mental health and wellness resources
Growth Opportunities: Participate in learning, development, and recognition programs
Commitment to DEI: Contribute to diversity, equity, and inclusion through ongoing initiatives and employee resource groups
Community Engagement: Make a difference through our volunteering program

Social worker assistant

The Nursing Home Placement Coordinator provides a centralized resource for all N...

Location

United States of America , Rochester

Salary:

24.22 - 33.91 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

BS or BSW + no experience OR No Bachelor’s degree but does have 4 years of experience
Experience in a health care setting preferred
Excellent communication skills (written and verbal)
Patient focused, advocacy skills and interdisciplinary collaboration preferred

Job Responsibility

Provide direct and indirect services to patients who are in need of placement in a post hospitalization after care facility
Coordinate communication with nursing homes regarding patient care needs, financial profile and other components of the patient's application or admission
Provide placement consultation to Social Work staff, community facilities, community or hospital physicians, other health care professionals, and, when indicated, to patients and/or families
Maintain Social Work Division liaison relationships with area nursing facilities and insurers
Receive and review initial or updated information from SMH Social Workers intended for placement purposes, and transmit the information to appropriate community facilities
Negotiate with individual facilities
Collaborate with Hospital interdisciplinary team, patient and family, as needed, to ensure optimum, timely placement of all patients
Problem solve on case specific or systems issues with Social Work Senior Director, leaders and individual Social Workers, or others as indicated
Facilitate the Placement Program’s inpatient throughput
Ensure the Program’s compliance with regulatory requirements & provide education to interdisciplinary team, patients & families

Parttime

Psychiatric Nurse I (LPN) or II (RN)- Crisis

Provide direct nursing services, mental health assessments, and treatment to the...

Location

United States , Denver

Salary:

30.12 - 40.56 USD / Hour

The Muse

Expiration Date

Until further notice

Requirements

Psychiatric Nurse I: Graduation from accredited school of nursing
Licensed as a Practical Nurse in good standing with the Board of Nursing of the State of Colorado
Experience: 1-3 years of experience working with patients with a serious and persistent mental illness (preferred)
Psychiatric Nurse II: Licensed as a Registered Nurse in the State of Colorado
License must be in good standing
Experience: Minimum two years nursing experience
experience in a behavioral health or outpatient clinic (preferred)

Job Responsibility

Provide direct nursing services, mental health assessments, and treatment to the people we serve with severe and persistent mental illness
Obtain, record, and communicate important clinical information
Provide clinical services within a multidisciplinary team environment
Provide psychological problem identification, crisis interventions, and similar services to assigned patients
Provide limited case management services
Assist consumers with psychological and social development and rehabilitation
Coordinate consumer’s use of other WellPower programs and outside community resources
Coordinate medical care and intervention with other clinical staff and psychiatrist(s)
Draw blood for lab work for patients
Monitor consumer’s vital signs

What we offer

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short-Term Disability
Long-Term Disability
FSA
Commuter Benefits Program
Paid Vacation
Paid Holidays

Software Engineer II

We are seeking a skilled software engineer to join our team and help implement a...

Location

Czech Republic , Multiple Locations

Salary:

Not provided

Microsoft Corporation

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Computer Science or related technical field AND technical engineering experience with coding in languages including, but not limited to, C, C++, C#, Java, JavaScript, or Python
OR equivalent experience.

Job Responsibility

AI-Native Development: Improves artificial intelligence (AI) tools and practices across the software development lifecycle (SDLC)
Proactively takes responsibility for the content of their AI-generated requirements, design documents, code, and other assets, assisting other members of the team to do the same
Incorporates Responsible AI practices into the SDLC to ensure appropriate controls over AI-generated assets
Applies SDLC and engineering health measures (e.g., Accelerate, SPACE framework, Engineering System Success Playbook [ESSP]) to guide improvements to processes and practices, especially those involving AI
Experiments with AI tools and practices to improve their own capabilities, and provides recommendations on how to adopt them to other members of the team.
Coding: Leads by example across teams and mentors others to produce extensible, maintainable, well-tested, secure, and performant code used across products that adheres to design specifications
Leads efforts to continuously improve code performance, testability, maintainability, effectiveness, and cost, while learning about and accounting for relevant trade-offs
Identifies best practices and coding patterns (e.g., leveraging state-of-the-art generative artificial intelligence [GenAI], approaches to source code organization, naming conventions) and provides deep expertise in the coding and validation strategy
Creates and applies metrics to drive code quality and stability, appropriate coding patterns, and best practices
Identifies and anticipates blockers or unknowns during the development process, escalates them, communicates how they will impact timelines, and then leads efforts to identify and implement strategies and/or opportunities to address them.

Fulltime

Behavioral Health - Case Manager II

Elevance Health

Location:
United States of America , Boston ▼
Woburn

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 21, 2026

Expiration:
March 25, 2026

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Behavioral Health - Care Manager II - Autism