A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

This is an individual contributor role. Ideal candidates will live within 50 miles of one of our Elevance Health office locations. The work schedule is Tuesday to Friday, from 5:00 pm - 1:30 am and Saturday from 12:00 pm - 8:30 pm.

A 15% shift differential is offered for overnight shifts, and a 10% shift differential is offered for the Saturday shift.

Training will be provided for 4 weeks during regular business hours.

The Clinical Care Manager is responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Primary duties may include, but are not limited to:

• Responding to more complex cases and account specific requests.

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

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

• Monitoring and evaluating the effectiveness of the care plan and modifying the care plan as needed.

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

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

• Serving as a resource to other Clinical Care Managers.

• Participation in cross-functional teams projects and initiatives.

• Development of subject matter expert in targeted clinical areas of expertise such as Eating Disorders, Maternity Alcohol/Drug, Autism Spectrum Disorders, etc.

Minimum Requirements:

• 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 and/or counseling with a 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 Michigan .

• 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. Experience in health coaching and motivational interviewing techniques preferred.

• For Government business only: LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.

Preferred Skills, Capabilities and Experiences:

• Call center experience highly desirable.

• BH intake/assessment experience strongly preferred.