Talent.com
Behavioral Health Care Manager I - North Carolina (Day Shift)
Behavioral Health Care Manager I - North Carolina (Day Shift)Elevance Health • Mebane, NC, United States
Behavioral Health Care Manager I - North Carolina (Day Shift)

Behavioral Health Care Manager I - North Carolina (Day Shift)

Elevance Health • Mebane, NC, United States
Hace 1 día
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Anticipated End Date :

2025-12-05

Position Title :

Behavioral Health Care Manager I - North Carolina (Day Shift)

Job Description :

Behavioral Health Care Manager I - North Carolina (Day Shift)

Location - Virtual : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Location : North Carolina

Work Shift Options :

  • Monday-Friday 8am-5pm EST
  • Monday-Friday 9am-6pm EST
  • Monday-Friday 11am-8pm EST

The Behavioral Health Care Manager I - North Carolina (Day Shift) is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.

How you will make an impact :

Primary duties may include but are not limited to :

  • Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
  • Refers cases to Peer Reviewers as appropriate.
  • Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
  • Minimum 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 experience with facility-based and / or outpatient 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 LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met : performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.

    Preferred Skills, Capabilities and Experiences :

  • Willing to get an OH License
  • Previous experience in case management / utilization management with a broad range of experience with complex psychiatric / substance abuse cases preferred.
  • Bilingual in Spanish is highly preferred
  • Utilization Management experience is preferred
  • Previous crisis hotline is preferred
  • For URAC accredited areas, the following professional competencies apply : Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

    Job Level :

    Non-Management Exempt

    Workshift :

    1st Shift (United States of America)

    Job Family : MED >

    Licensed / Certified Behavioral Health Role

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

    Crear una alerta de empleo para esta búsqueda

    Behavioral Health Care Manager • Mebane, NC, United States

    Ofertas relacionadas
    LTSS Service Care Manager (RN)

    LTSS Service Care Manager (RN)

    Pyramid Consulting, Inc • Greensboro, NC, United States
    Temporal
    LTSS Service Care Manager (RN).Please review the job description below and contact me ASAP if you are interested.Employee benefits include, but are not limited to, health insurance (medical, dental...Mostrar más
    Última actualización: hace 11 días • Oferta promocionada
    Behavioral Health Case Manager

    Behavioral Health Case Manager

    Duke Health • Durham, North Carolina, United States
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Behavioral Health Therapist- Riverview DPC Durham, NC (LCSW,LMFT, and / or LCMHC Required)

    Behavioral Health Therapist- Riverview DPC Durham, NC (LCSW,LMFT, and / or LCMHC Required)

    Duke Health • Durham, North Carolina, United States
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Care Manager (Caswell County, NC)

    Care Manager (Caswell County, NC)

    Vaya Health • Yanceyville, NC, United States
    A tiempo completo
    Remote - must live in or near Caswell County, North Carolina.The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border.The Care Manager i...Mostrar más
    Última actualización: hace 22 días • Oferta promocionada
    Population Health Care Manager- QuEST Team

    Population Health Care Manager- QuEST Team

    Duke Clinical Research Institute • Durham, NC, United States
    A tiempo completo
    Medicare Fee-for-Service patients in Durham and itssurrounding areas.General Description of the Job Class.The Population Health Care Manager is responsible for delivering clinical expertise to mana...Mostrar más
    Última actualización: hace 17 horas • Oferta promocionada • Nueva oferta
    Behavioral Health Case Manager

    Behavioral Health Case Manager

    Dukehealth.org • Durham, NC, United States
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Behavioral Health Therapist- Riverview DPC Durham, NC (LCSW,LMFT, and / or LCMHC Required)

    Behavioral Health Therapist- Riverview DPC Durham, NC (LCSW,LMFT, and / or LCMHC Required)

    Duke Clinical Research Institute • Durham, NC, United States
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Behavioral Health Therapist-DPC Holly Springs NC (LCSW,LMFT, and / or LCMHC Required)

    Behavioral Health Therapist-DPC Holly Springs NC (LCSW,LMFT, and / or LCMHC Required)

    Duke Clinical Research Institute • Durham, NC, United States
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Manager Health Information Management

    Manager Health Information Management

    Cone Health • Greensboro, NC, United States
    A tiempo completo
    The Manager Health Information Management (HIM) manages daily operations of the HIM Department with diversified duties, which requires knowledge in the technical and managerial aspects of the HIM p...Mostrar más
    Última actualización: hace 21 días • Oferta promocionada
    RN Case Manager Behavioral Health Hospital Greensboro

    RN Case Manager Behavioral Health Hospital Greensboro

    Cone Health • Greensboro, NC, United States
    A tiempo completo
    The Case Manager Registered Nurse (RN) provides comprehensive and coordinated care to patients.Working under moderate or general supervision, this role analyzes patient needs, participates in care ...Mostrar más
    Última actualización: hace 29 días • Oferta promocionada
    Population Health Care Manager- AMH+

    Population Health Care Manager- AMH+

    Duke Clinical Research Institute • Durham, NC, United States
    A tiempo completo
    Medicare Fee-for-Service patients in Durham and itssurrounding areas.The Population Health Care Manager is responsible for clinical expertise for specific complex and / or rising risk patient populat...Mostrar más
    Última actualización: hace 18 días • Oferta promocionada
    Behavioral Health Case Manager

    Behavioral Health Case Manager

    Duke Clinical Research Institute • Durham, NC, United States
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Regional Healthcare Manager

    Regional Healthcare Manager

    Center for Vein Restoration • Durham, NC, US
    A tiempo completo
    We're America's largest physician-led vein center - having most recently been awarded the Healthcare Industry Top Work Places 2021 award, Top Work Places USA 2021 award, and Glassdoor Top CEO Award...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Behavioral Health Care Manager I - North Carolina

    Behavioral Health Care Manager I - North Carolina

    Elevance Health • Mebane, NC, United States
    A tiempo completo
    Behavioral Health Care Manager I - North Carolina.Behavioral Health Care Manager I - North Carolina.This role enables associates to work virtually full-time, with the exception of required in-perso...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Behavioral Health Care Manager

    Behavioral Health Care Manager

    April Health • Durham, NC, United States
    A tiempo completo
    Are you passionate about increasing access to behavioral health services? Have you worked in Collaborative Care? Are you available to work evenings in your time zone? If so, we want you to join the...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Population Health Care Manager- QuEST Team

    Population Health Care Manager- QuEST Team

    Duke University • Durham, NC, United States
    A tiempo completo
    Medicare Fee-for-Service patients in Durham and itssurrounding areas.General Description of the Job Class.The Population Health Care Manager is responsible for delivering clinical expertise to mana...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    RN Clinical Manager - Home Health

    RN Clinical Manager - Home Health

    BrightSpring Health Services • Mebane, NC, United States
    A tiempo completo
    RN Clinical Manager - Home Health.Adoration Home Health and Hospice.Adoration Home Health and Hospice.Are you looking for a new leadership opportunity?. In this vital leadership role,.Full Time, in ...Mostrar más
    Última actualización: hace 4 días • Oferta promocionada
    Behavioral Health Therapist DPC Timberlyne Chapel Hill, NC (LCSW,LMFT, and / or LCMHC Required)

    Behavioral Health Therapist DPC Timberlyne Chapel Hill, NC (LCSW,LMFT, and / or LCMHC Required)

    Duke Health • Durham, NC, US
    A tiempo completo
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and ...Mostrar más
    Última actualización: hace 17 horas • Oferta promocionada • Nueva oferta