Behavioral Health Case Manager I

Anticipated End Date:

2025-07-18

Position Title:

Behavioral Health Case Manager I

Job Description:

Be Part of an Extraordinary Team

Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

Title: Behavioral Health Case Manager I

Virtual:  This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Location: Candidates must reside in Pennsylvania. The ideal candidate will reside in one of the below counties:

Armstrong, Beaver, Butler, Crawford, Fayette, Indiana, Lawrence, Mercer, Venango, Washington, Westmoreland, or Allegheny.

Close proximity to one of the below Elevance Health Pulse Points is strongly preferred:

• PA-SEVEN FIELDS, 300 SEVEN FIELDS BLVD, STE 100

• PA-HERMITAGE, 295 N KERRWOOD DR, STE 107

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Behavioral Health Case Manager I is responsible for performing 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. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc.

How you will make an impact:

• Responds to more complex cases and account specific requests.

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

• Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.

• Monitors and evaluates effectiveness of care plan and modifies plan as needed.

• Supports member access to appropriate quality and cost-effective care.

• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

• Serves as a resource to other BH Case Mgrs.

• Participates in cross-functional teams 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 3 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 LMSW (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.

• Previous 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.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified Behavioral Health Role

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