Behavioral Health Case Manager II - Washington at Elevance Health

Seattle, Washington, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

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 or counseling with a broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment (or equivalent combination of education and experience)
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
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

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 plans 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 Behavioral Health Case Managers
Participates in cross-functional teams, projects, and initiatives
Performs case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs

Skills

Key technologies and capabilities for this role

Case ManagementBehavioral HealthSubstance AbuseTelephonic AssessmentCare PlanningClinical JudgmentScreening CriteriaEating DisordersAutism Spectrum DisordersProvider Coordination

Questions & Answers

Common questions about this position

Is this position fully remote?

This role is virtual full-time with maximum flexibility, except for required in-person training sessions and up to one day a week visiting members in care facilities throughout Washington state. Candidates must be within a reasonable commuting distance from the posting location(s) per hybrid/virtual work policy, unless an accommodation is granted.

What are the minimum education and experience requirements?

Requires MA/MS in social work, counseling, or related behavioral health field or nursing degree, minimum 3 years clinical experience in social work or counseling with complex psychiatric and substance abuse treatment, current active unrestricted license (e.g., RN, LCSW, LMHC), previous case management experience, and managed care experience.

What is the work schedule for this role?

The position follows Monday through Friday, 8AM-5PM Pacific Standard Time.

What salary or compensation does this position offer?

This information is not specified in the job description.

What experience makes a candidate stand out for this role?

Strong candidates will have expertise in targeted clinical areas like Eating Disorders, Maternity, Alcohol/Drug, or Autism Spectrum Disorders, experience with complex cases, and the ability to serve as a resource to other case managers while participating in cross-functional teams.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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