Behavioral Health Case Manager III, NV 988 at Elevance Health

Las Vegas, Nevada, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Behavioral HealthIndustries

Requirements

MA/MS in social work, counseling, or a related behavioral health field, or a degree in nursing, and minimum of 4 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 equivalent combination of education and experience)
Current active unrestricted independent clinical Nevada license such as RN, LCSW, LCPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in Nevada
Extensive 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
Ability to work in-office 3 days per week at 9133 W Russell Rd., Las Vegas, NV 89148 (candidates not within reasonable commuting distance not considered unless accommodation granted)
Availability for 8am-4:30pm PST Sunday-Thursday shift in a 24/7 call center (including weekends and holidays); training Monday-Friday 8:00am-4:30pm PST for 3 weeks

Responsibilities

Takes inbound calls from individuals needing support, services, or who may be in crisis
Serves as a key resource and mentor to Clinical & Referral Specialists
Assists with more complex cases & calls
Provides clinical consults on cases when no BH Manager is available on shift
Performs safety screenings and assessments while using clinical judgement to discern presence and acuity of risk to the safety of the individual or others
Uses information provided by the caller and obtained during the screenings and assessments to accurately understand the individual's needs and develop a plan of action in collaboration with the individual
Completes appropriate, timely, and accurate documentation of interactions in accordance with established criteria
Provides linkage follow-up as directed to assure individual accessed services
Coordinates with other agencies, organizations, and individuals to ensure optimal use of resources, services, and natural support systems
Completes other projects and tasks as assigned by BH Manager
Assists in mentoring and developing new team members as assigned
Assists in developing and maintaining resource and referral database
Screens, assesses, trains, and provides telephonic intervention/de-escalation for helpline callers using established protocols to determine an immediate course of action

Skills

Crisis Intervention

De-escalation

Clinical Assessment

Safety Screening

Behavioral Health

Case Management

Telephonic Counseling

Clinical Judgement

Mental Health Screening

Substance Use Disorder

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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