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Behavioral Health Case Manager II
| Company | Elevance Health |
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| Location | New York, NY, USA |
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| Salary | $82080 – $123120 |
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| Type | Full-Time |
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| Degrees | Master’s |
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| Experience Level | Junior, Mid Level |
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Requirements
- Requires MA/MS in social work counseling or a related behavioral health field, or a degree in nursing, and 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; or any combination of education and experience which would provide an equivalent background.
- 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.
- Managed care experience required.
- For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
Responsibilities
- 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 Managers.
- Participates in cross-functional teams projects and initiatives.
Preferred Qualifications
- Experience in health coaching and motivational interviewing techniques preferred.
- Proficiency in MS Office and Outlook strongly preferred.
