Behavioral Health Care Manager I managing neurodevelopmental and psychiatric disorders at Elevance Health. Providing flexible virtual full-time care management and ensuring access to quality behavioral healthcare.
Responsibilities
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.
Requirements
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing.
minimum of 3 years of experience with Applied Behavioral Analysis services, facility-based and/or outpatient neurodevelopmental conditions, psychiatric and substance abuse or substance abuse disorder treatment;
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.
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.
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