Behavioral Health Care Manager I

Anticipated End Date: 2026-07-10 Position Title: Behavioral Health Care Manager I Location: The ideal candidate must reside within the distance of our Indianapolis, IN office. Schedule: Monday - Friday, 8AM to 5PM EST. No weekends or holidays. Virtual: This role enables associates to work virtually full-time, except for required in‑person training sessions, providing maximum flexibility and autonomy. Responsibilities The Behavioral Health Care Manager I will be responsible for managing psychiatric and substance abuse or substance abuse disorder facility‑based and outpatient professional treatment health benefits through telephonic or written review. How you will make an impact: 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. Performs psychiatric and substance abuse or substance abuse disorder assessment coordination, implementation, case planning, monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources. Minimum Requirements Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3years of experience with facility‑based and/or outpatient 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, LPC, LMFT to practice as a health professional within the scope of licensure in the state of Indiana required. Licensure is a requirement for this position. Preferred Skills and Experience Previous experience in utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred. For URAC accredited areas, the following professional competencies apply. Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills. Job Details Job Level: Non‑Management Exempt Workshift: Full Time Job Family: MED Licensed/Certified Behavioral Health Role Benefits We offer a range of market‑competitive total rewards that include merit increases, paid holidays, paid time off, incentive bonus programs, medical, dental, vision, short and long‑term disability benefits, 401(k) matching, stock purchase plan, life insurance, wellness programs and financial education resources. 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. #J-18808-Ljbffr