Behavioral Health Case Manager ll -Substance Abuse

$75,992 - $113,988/Yr

Elevance Health - Washington, DC

Full-time - Mid Level

Washington, DC

11-50 employees

Insurance Carriers and Related Activities

About the position

The Behavioral Health Case Manager II is responsible for providing telephonic case management for members with behavioral health and substance abuse needs. This role involves assessing member needs, developing care plans, utilizing motivational interviewing techniques, and coordinating with various resources to ensure effective care delivery. The position requires expertise in complex psychiatric and substance abuse treatment, and the ability to support members in accessing quality care.

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.
• Utilizes Motivational Interviewing Techniques to encourage and facilitate change.
• Monitors and evaluates the effectiveness of care plans and modifies plans 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 team projects and initiatives.

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 a broad range of experience with complex psychiatric and substance abuse treatment.
• Current, active, unrestricted Washington, D.C. license such as RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW, or Clinical Psychologist.
• Previous experience in case management and telephonic and/or in-person coaching with members with complex psychiatric/substance abuse and/or medical disorders.
• Managed care experience required.

Nice-to-haves

• Telephonic case management strongly preferred.
• Experience working with the Medicaid population preferred.
• Background in coordination of community resources.
• Experience in health coaching and motivational interviewing techniques preferred.
• Experience working with individuals from disadvantaged socio-economic backgrounds.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid holidays
• Paid Time Off
• Medical, dental, vision benefits
• Short and long term disability benefits
• Life insurance
• Wellness programs
• Financial education resources