Job Information
Elevance Health Behavioral Heath Care Manager II in WOBURN, Massachusetts
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
Must have a current, unrestricted Clinical License in the state of Massachusetts as an LABA.
The BCBA Autism/BH Care Manager is primarily for conducting the clinical review process for ABA service for the plans contracted by Carelon Health. The care manager reviews the provider’s assessment results the treatment plan, proposed goals, plan of action, and using clinical knowledge and expertise to ensure our members are directed to the appropriate level of care.
How you will make an impact:
Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.
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.
Will serve as a resource to other BH Care Managers.
Assists with more complex cases and may participate in inter and intradepartmental 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 experience with applied behavioral analysis ; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted license, such as either RN, LCSW, LMHC LPC, LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position.
However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision. Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
Prior managed care experience required.