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Elevance Health

Sells health insurance and pharmacy benefits

Licensed Behavioral Health Case Manager 1

Mental & Behavioral HealthConfirmed live in the last 24 hours
Full-timeWaukesha, WI, USA

About the Job

Requirements

  • Requires an MA/MS in social work, counseling, or a related behavioral health field, or a degree in nursing, and a minimum of 3 years of clinical experience in social work counseling with broad experience in complex psychiatric and substance abuse or substance abuse disorder treatment; an equivalent combination of education and experience may be considered.
  • Requires a current, active, unrestricted license such as RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW, or Clinical Psychologist, as applicable under state law and scope of practice, to practice as a health professional within the applicable United States state or territory.
  • Must reside in Wisconsin.
  • New candidates in certain patient/member-facing roles must be vaccinated against COVID-19 and Influenza unless an acceptable explanation is provided.

Responsibilities

  • Perform case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
  • Use appropriate screening criteria and clinical judgment to assess member needs.
  • Conduct assessments to identify individual needs and develop a care plan addressing objectives and goals identified during assessment.
  • Monitor and evaluate care-plan effectiveness and modify the plan as needed.
  • Support member access to appropriate, quality, and cost-effective care.
  • Coordinate with internal and external resources to meet identified member needs and collaborate with providers.
  • Travel to client sites or designated locations as role requires, with occasional office attendance for meetings or training; travel is limited to a 60-mile radius from home.

Desired Qualifications

  • Experience in case management and telephonic and/or in-person coaching with members who have a broad range of complex psychiatric, substance abuse, and/or medical disorders.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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