Behavioral Health Case Manager Lead - Military Veterans

Location: This position will work virtually. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. 

The Behavioral Health Case Manager Team Lead will be responsible for coordinating operations and workflows that support case management program(s).

How you will make an impact:

• Actively support a team of member facing case managers and other care management associates, working in different states and across multiple lines of business:  Medicaid, Medicare, Commercial.  
• Serve as a resource for member-facing case managers, as they assist members with complex behavioral health, physical health, and/or substance use disorder needs.
• Assist in the oversight of program referrals and accurate and timely case assignment.
• Maintain training curriculum, develop training aids, and act as the primary support for new hire and ongoing trainings, across multiple case management systems:
• Assist in developing and maintaining program documents, QSTs, and desktop procedures, and assist with process improvement activities.
• Run program reports and interpret data. 
• Conduct quality audits and assist with quality oversight and improvement activities, to ensure individual, team, and overall operational metrics are achieved.
• Assist with interviews for open positions.
• Assist Peer Support Specialist liaison, as needed.
• Participate in cross-functional team projects and initiatives.

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 RN, 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 territories 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.
• Clinical training experience highly preferred
• Proficiency with Excel, PPT, and TEAMS highly preferred
• Quality and process improvement experience highly preferred
• CCM designation, or ability to attain within 1 year preferred
• Strategic Thinking: Ability to plan, implement, and manage programs and initiatives to improve case management processes and outcomes. 
• Adaptability: Flexibility to adapt to changing healthcare environments, regulations, and unexpected challenges.
• Mentorship: Experience and ability to mentor and develop team members, fostering professional growth and improved performance.
• Customer Service Orientation: A client-focused approach to understanding and meeting the needs of patients and their families effectively.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $80,724-$132,618.

• Location: California, Colorado, Nevada
• In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
• * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 elevancehealthjobssupport@elevancehealth.com 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.