LTSS Service Coordinator-Clinician (Evansville, Princeton, Mount Vernon)

Elevance Health Evansville, IN, US

Apply Now

Anticipated End Date:

2026-05-04

Position Title:

LTSS Service Coordinator-Clinician (Evansville, Princeton, Mount Vernon)

Job Description:

LTSS Service Coordinator-Clinician

Sign On Bonus $2,500

Schedule: Monday-Friday 8am-5pm EST

Location: Candidates must be located in one of the following counties: Gibson, Perry, Posey, Spencer, Vanderburg, or Warrick.

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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 LTSS Service Coordinator-Clinician working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.

How you will make an impact:

Assists responsible RN in identifying members for high risk complications.
Obtains clinical data as directed by the responsible RN.
Assists the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs.
Provides all information collected to the responsible RN, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.

Minimum Requirements:

Requires an LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.

Preferred Skills, Capabilities and Experiences:

MA/MS in Health/Nursing preferred.
May require state-specified certification based on state law and/or contract preferred.
Travels to worksite and other locations as necessary preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

MED > Licensed/Certified - Other

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 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.

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

Share this job

Related Jobs

Full-time

2 weeks ago

Nurse Practitioner

State of Indiana Evansville, IN

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About Evansville State Hospital : Evansville State Hospital is one of the Indiana State Psychiatric Hospitals who are committed to the mission of Hope and Recovery. Residing on 88 acres on the east side of Evansville, Ind., our facility provides medical treatment for chronic mental illness and substance abuse disorders from our dedicated team of psychiatrists and advanced practice professionals. Active Treatment helps our patients achieve their goals directed towards living in the most non-restrictive environment possible. Our team of professionals assist our patients in the treatment process involving medical staff, nursing, psychology, social work, rehabilitation therapy and our community integration program. Evansville State Hospital continues to maintain accreditation through The Joint Commission as an Inpatient Psychiatric Hospital as well as Centers for Medicare & Medicaid Services certification as a Psychiatric Medicare/Medicaid Hospital. Salary Statement : The salary for this position traditionally starts at $109,304.00 but may be commensurate with education or work experience. A Day in the Life: Program Administration Support Maintain accurate records to reflect and assume accountability for clinical decisions and actions. Provide consultation through collaboration with a variety of health care professionals. Develop educational programs for individuals and groups appropriate to health problems, level of functioning, emotional needs, and patient characteristics. Program Management Support Obtain patient health histories, exams, and establish diagnoses. Order, perform, and interpret diagnostic studies. Perform indicated procedures and therapeutic/corrective measures. Refer patients to appropriate health care providers. Prescribe medication and treatment within practice guidelines. Provide initial emergency care such as CPR and alert appropriate emergency providers. Research & Clinical Advancement Lead and direct nursing staff in the design, coordination, and evaluation of research to improve clinical practice and delivery of health care. Direct or participate in the oversight and application of quality research assurance projects. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time. What You'll Need for Success: Individuals in this role should minimally be able to articulate or demonstrate the following: Displaying Technical Expertise Specialized knowledge of, and ability to utilize, the full range of accepted professional nursing principles and practices within in-patient care. Working knowledge of psychology relative to handling and caring for mentally disabled individuals and those with abnormal mental and behavioral patterns as provided in nursing education. Acting Decisively Possess a high degree of skill in providing patient care and reacting effectively in emergency situations. Ability to develop and apply nursing care plans and provide guidance to staff nurses. Critical Thinking Ability to apply conceptual theory-based knowledge to manage health care status and assure optimal care. Ability to interpret diagnostic studies and clinical data to inform treatment decisions. Supporting Organizational Goals Ability to effectively communicate and interpret, give, and follow directions. Ability to communicate with individuals regarding medical and nursing procedures and conditions. Experience & Education Must possess a graduate-level degree in nursing from an accredited college. Must hold a current Nurse Practitioner license from the State of Indiana. Must hold a valid DEA and CSR registration for Indiana. Individuals should have the ability to perform essential functions with or without reasonable accommodation. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefit package for full-time employees which includes: Three (3) medical plan options (including RX coverage) as well as vision and dental plans Wellness Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Deferred compensation 457(b) account (similar to 401(k) plan) with employer match Two (2) fully-funded pension plan options A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers Up to 15 hours of paid community service leave Combined 180 hours of paid vacation, personal, and sick leave time off 12 paid holidays, 14 on election years Education Reimbursement Program Group life insurance Referral Bonus program Employee assistance program that allows for covered behavioral health visits Qualified employer for the Public Service Loan Forgiveness Program Free Parking for most positions Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov .

Manager Behavioral Health Services (Chester Co.)

Elevance Health Seven Fields, PA

Anticipated End Date: 2026-04-20 Position Title: Manager Behavioral Health Services (Chester Co.) Job Description: Manager Behavioral Health Services LOCATION : This position requires 3 days per week in-office. You must reside in or very near Chester County, PA. HOURS : General business hours, Monday through Friday. (Core hours: 8-5) Hybrid 2: This role requires associates to be in-office 3 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 accommodation is granted as required by law. The Manager Behavioral Health Services is responsible for Behavioral Health Utilization Management (BH UM) and Behavioral Health Case Management (BH CM) (integrated model). Primary duties may include but are not limited to : Serves as a resource for medical management programs. Identifies and recommends revisions to policies/procedures. Ensures staff adheres to accreditation guidelines. Supports quality improvement activities. May assist with implementation of cost of care initiatives. May attend meetings to review UM and/or CM process and discusses facility issues. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Responsibilities for BH UM may include: UM: Manages a team of licensed clinicians and non-clinical support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services. CM: Manages a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members. Monitors and evaluates the effectiveness of care plans; manages case consultation and education to customers and internal staff for efficient utilization of BH services;. Additional responsibilities for integrated BH UM and BH CM model include integrating the UM/CM functions to improve information flow and collaboration. Required Qualifications 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 with facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience. Requires a current active unrestricted license such as LCSW, LMHC, LICSW, LPC, LMFT, RN or Clinical Psychologist to practice as a health professional from the Commonwealth of Pennsylvania. 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 required. Managed care experience required. Preferred Qualifications Behavioral Health treatment strongly preferred. Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred. Certification as a Case Manager is preferred. Job Level: Manager Workshift: 1st Shift (United States of America) 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 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 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration .

Manager/Supervisor

Full-time

6 days ago

Center Manager - Family Nurse Practitioner

Elevance Health Bee Cave, TX

Anticipated End Date: 2026-04-30 Position Title: Center Manager - Family Nurse Practitioner Job Description: Center Manager, Family Nurse Practitioner Location : Bee Cave, TX – 15601 State Hwy 71, Suite 280 Clinic Hours: 8am – 4pm; M - F Schedule: Full - Time This role requires associates to work from the posted location full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. 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 Center Manager – Family Nurse Practitioner is responsible for the oversight of the staffing, facility, quality and safety of patient care, flow, and process of the infusion suite in addition to providing services to patients under the nurse’s scope of practice. How you will make an impact: Assign work details and patient care to available staff within the facility as needed. Abides by company policies and procedures as well as federal, state and/or local guidelines and practices. Monitors Clinical Staff in the clinic for compliance with company policies/procedures and take immediate corrective action. Screens all new referrals to infusion center for clinical appropriateness to treat. Ensures that all medication orders are complete, appropriate, accurate, and up to date prior to treatment. Forwards all patient documentation to clinical staff in appropriate location and to reimbursement staff. Delegates responsibilities to staff to ensure appropriate levels of medications, infusion and office supplies are maintained in order to contain inventory costs. Oversee the administration of infusion therapy to patients as per the company and governing guidelines. Maintains daily schedule of patient visits in designated scheduling software. Handles customer/patient complaints in a fair and empathetic manner. Responsible for center staffing, utilizes part time and PRN staff to ensure schedule coverage. Assures that INS, State Department of Health, and Infusion Therapy Program standards of care and clinical practice are maintained through new hire orientation and annual competency assessments, as well as monitoring daily care provided by clinic staff. Responsible for the recruitment, retention, development, and ongoing evaluation of qualified staff. Minimum Requirements: Requires an MS in Nursing and minimum of 3 years of related clinical experience; or any combination of education and experience, which would provide an equivalent background. Experience with IVs required. Requires a current, active, valid and unrestricted Nurse Practitioner to practice as healthcare professional within scope of license in applicable state(s) or territory of the United States. Requires a current, active and valid Family Nurse Practitioner Certification. Satisfactory completion of a Tuberculosis test is a requirement for this position. Preferred Skills, Capabilities and Experiences: Experience with IV insertion and maintenance strongly preferred. Port, PICC, and Peripheral Line experienced preferred. Infusion reaction management experience preferred. Titration experience preferred. Medication mixing and infusion experience preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Job Level: Manager Workshift: Job Family: MED > Licensed Nurse 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 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration .

Psych

Full-time

6 days ago

Behavioral Health Care Manager II - BCBA/LBA - Georgia Licensed

Elevance Health Atlanta, GA

Anticipated End Date: 2026-04-17 Position Title: Behavioral Health Care Manager II - BCBA/LBA - Georgia Licensed Job Description: Behavioral Health - Care Manager II - Autism - BCBA - LBA Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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. This is a Virtual position, but you must be licensed in the State of Georgia to be eligible for this position. The Behavioral Health - Care Manager II - Autism is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. How you will make an impact: 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 facility-based and/or outpatient 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 LMSW 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 required. Prior managed care experience required. Preferred Skills, Capabilities, and Experiences: You must be licensed in the State of Georgia to be eligible for this position. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) 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 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 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration .

Behavioral Health Care Manager II - Connecticut

Elevance Health Rocky Hill, CT

Anticipated End Date: 2026-04-18 Position Title: Behavioral Health Care Manager II - Connecticut Job Description: Work location – Virtual This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development 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. Position specific details: The successful candidate will reside and hold an independent licensure in the state of Connecticut and be able to attend once a month meetings in-office in our Rocky Hill, CT location. The Behavioral Health Care Manager II - Connecticut is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. The Behavioral Health Care Manager II will also be responsible for working with the children and families in the state of Connecticut to connect children to behavioral health resources and providers within the state. Primary duties may include but are not limited to: 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 level of care guidelines. 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. Collaborate with leadership and medical director to determine appropriate levels of care. Position 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 facility-based and/or outpatient 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 LCSW, LMHC, LPC, 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. Prior managed care experience required. 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. Preferred qualifications, skills, and experiences: Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required. Previous experience working with children’s care systems in the state of Connecticut. Proven ability to work collaboratively with parents, families, and state and government agencies. Previous experience working within a timeline-driven environment. Bilingual Spanish skills are preferred but not required. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) 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 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 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration .