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Behavioral Health Case Manager II

**Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Coverage locations include but not limited to:

+ Arlington, VA- Prince William, Loudoun, Fairfax & Stafford counties.

+ Atlanta, GA- Atlanta Metro, Fulton, Fayette, Henry, Cherokee & Cobb counties.

Shift: Monday – Friday, 8a-5p in local time zone, Virtual with ~50% local fieldwork.

The **Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health, substance abuse, and/or complex medical needs.

How you will make an impact:

Primary duties may include, but are not limited to:

+ 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 plan 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 and physical health case managers.

+ Participates in cross-functional teams, projects, and initiatives.

+ Completes face-to-face visits with members in the home, hospital, and other community settings, such as doctor’s offices, treatment centers, etc.

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 clinical experience in social work counseling with broad range of experience with complex 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 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 required.

+ 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 required.

Preferred Skills, Capabilities and Experiences:

+ Knowledge of systems capabilities and business operations is strongly preferred.

+ Experience in health coaching and motivational interviewing techniques is preferred.

+ CCM preferred.

For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply. Experience in health coaching and motivational interviewing techniques preferred. For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.

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 [email protected] 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.