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Behavioral Health Case Mgr II - Connecticut

*Candidates Must Reside in the state of Connecticut.

Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

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.

Work Shift: Monday through Friday, 8:30 a.m.-5:00 p.m. (EST)

The Behavioral Health Case Mgr II is responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance use disorder needs. Provides telephonic behavioral health resource navigation, care coordination, and referral support to individuals seeking behavioral health and substance use services within the ACCESS for Adults program.

How you will make an impact:

• Partners with providers, patients, and community organizations to identify appropriate behavioral health and community-based resources that meet each individual's clinical, geographic, insurance, and personal needs.

• Supports individuals in overcoming barriers to care by coordinating referrals, assisting with appointment navigation, and conducting follow-up outreach to promote successful connection to recommended services.

• Responds to referrals received through the ACCESS for Adults program, assisting with resource identification and appointment coordination, conducting follow-up outreach to support successful connection to services, and maintaining current knowledge of behavioral health, substance use, and community resources throughout Connecticut

• 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.

• 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.

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 use disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Current, active, unrestricted license such as either a RN, LCSW, LMHC, LICSW, LPC , LMFT or Clinical Psychologist to practice as a health professional in the state of Connecticut is required.

• Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance use and/or medical disorders.

• Managed care experience.

Preferred Skills, Capabilities and Experiences:

• Dual licensure in mental health and substance use treatment preferred.

• Knowledge of Connecticut behavioral health, substance use, and community-based resources.

• Experience providing telephonic care coordination, resource navigation, or referral services.

• Demonstrated ability to identify appropriate referrals based on clinical needs, insurance coverage, geographic location, provider availability, and individual preferences.

• Excellent communication, motivational interviewing, and customer service skills.

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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.

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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.