Behavioral Health Care Manager I

Elevance Health

. Manage psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review .

Posted 9/24/2026full-timeRemote • Florida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing psychiatric and substance abuse treatment through effective utilization management and case coordination. Possesses strong clinical judgment and communication skills to ensure quality member outcomes and access to necessary healthcare services.

Highest-signal resume keywords

MA/MS In Social Work, Counseling, Or Related Behavioral Health FieldCurrent Active Unrestricted License (RN, LCSW, LMSW, LMHC, LPC, LBA, LMFT, Clinical Psychologist)3 Years Experience In Psychiatric And Substance Abuse TreatmentUtilization Management Experience With Complex CasesStrong Oral And Written Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical JudgmentBehavioral Healthcare AssessmentCrisis ManagementUtilization ManagementCase Coordination

Soft Skills

Problem-Solving SkillsFacilitation SkillsAnalytical SkillsInterpersonal Communication Skills

Certifications & Qualifications

Licensed Health Professional

Industry Keywords

Psychiatric TreatmentSubstance Abuse DisorderOutpatient ServicesFacility-Based TreatmentUM Clinical Guidelines

About the role

Key responsibilities & impact

Manage psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
Use screening criteria knowledge and clinical judgment to assess member needs
Ensure access to medically necessary, quality behavioral healthcare in a cost-effective setting according to UM Clinical Guidelines and contract
Refer cases to Peer Reviewers as appropriate
Coordinate, implement, plan, monitor, and evaluate psychiatric and substance abuse assessments
Promote quality member outcomes and optimize member health benefits
Promote effective use of health benefits and community resources
Handle crisis calls and assess members for safety

Requirements

What you’ll need

MA/MS in social work, counseling, or a related behavioral health field, or a degree in nursing
Minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
Current active unrestricted license, such as RN, LCSW, LMSW, LMHC, LPC, LBA, LMFT, or Clinical Psychologist, to practice as a health professional within the scope of licensure in applicable states or territory of the United States
Licensure is required for this position
In states that do not require licensure, a BCBA is acceptable only if the associate performs UM approvals only, reviews ABA service requests only, and has licensed staff supervision
Previous case management/utilization management experience with complex psychiatric/substance abuse cases preferred
Previous behavioral health inpatient and/or outpatient services experience preferred
Strong oral, written, and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills
Must be licensed and domiciled in Florida
Ability to work 9am–6pm EST with occasional rotating holiday and weekend coverage
Candidates must reside within a reasonable commuting distance from the posting locations unless accommodation is granted as required by law
COVID-19 and Influenza vaccination required for certain patient/member-facing roles, subject to acceptable explanation

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) + match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Virtual full-time work arrangement, except for required in-person training sessions
Flexible work-life integration
Professional growth opportunities