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Elevance Health BH Case Manager Lead in RICHMOND, Virginia

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

BH Case Manager Lead

Responsible for coordinating operations and workflows related to care management activities that support the Case Management Program.

How will you make an impact:

  • Provides support to member facing BH Case Mgrs. and other Care management associates.

  • Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment.

  • Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved. Facilitates weekly clinical rounds and may conduct quality audits.

  • Works with the manager to ensure individual team and overall operational metrics are achieved.

  • Supports various projects and initiatives as assigned.

  • Assists with process improvement activities for regulatory requirements.

  • Acts as departmental liaison to other areas of the business unit.

  • Primary support with training/mentoring new hires.

  • Participates in cross-functional teams projects and initiatives.

  • Serves as a member of the leadership team.

  • Travel required.

This position is a *field/remote position. 2-3 days minimum in the in the field interfacing with providers and members. *

**Mon-Friday 8 am -5:00 pm EST

Ideal candidate *must reside and be licensed in the state of Virginia.*

Minimum Requirements:

  • Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 5 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 LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT (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.

  • Extensive 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:

  • Experience in health coaching and motivational interviewing techniques preferred.
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