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Behavioral Health Care Manager II
| Company | Elevance Health |
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| Location | Denver, CO, USA |
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| Salary | $68400 – $85500 |
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| Type | Full-Time |
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| Degrees | Master’s |
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| Experience Level | Mid Level |
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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, LMFT, or Clinical Psychologist
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases
- Prior managed care experience
Responsibilities
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare
- Refers cases to Peer Reviewers as appropriate
- Performs psychiatric and substance abuse or substance abuse disorder assessment coordination, implementation, case planning, monitoring, and evaluating
- Promotes quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources
- Serves as a resource to other BH Care Managers
- Assists with more complex cases and may participate in inter and intradepartmental teams, projects, and initiatives
Preferred Qualifications
- Board Certified Behavioral Analyst (BCBA) acceptable if performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision
