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Behavioral Health Care Manager I - California
Location
United States
Posted
98 days ago
Salary
$64.2K - $115K / year
Seniority
Lead
No structured requirement data.
Job Description
Behavioral Health Care Manager I - California
Elevance Health
Anticipated End Date: 2026-03-28 Position Title: Behavioral Health Care Manager I - California Job Description: Work Location: Virtual This role enables associates to work virtually full-time, except for 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. Work Hours Monday - Friday, 8am-5pm PST The Behavioral Health Care Manager I - California 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 a difference: - 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. Minimum Qualifications: - 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 California license, such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in California required. Preferred Skills, Capabilities and Experiences: - Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred. - Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. - Crisis call center experience is preferred. - UM experience strongly preferred. - Managed Care experience is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $ 64,240 to $ 115,632 Location: California In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid 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.
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Job Title: Care Coordinator Location: Remote (This position is available in the following Arkansas counties: Calhoun, Columbia, Dallas, Hempstead, Howard, Lafayette, Little River, Miller, Nevada, Ouachita, Sevier, and Union.) Department: Care Coordination Reports To: Care Coordination Supervisor Employment Status: Full-time FLSA Status: Non-exempt Our Story Arkansas Provider Coalition (APC) provides Care Coordination for Summit Community Care, helping individuals with developmental disabilities and/or behavioral health diagnoses maintain their health and independence. Working with Arkansas Medicaid, APC ensures patient-centered care through service referrals, follow-ups, and navigation. The care process includes assessment, care planning, medication management, service coordination, and monitoring adherence to ensure timely access to quality, cost-effective care. Founded in 2017, APC is known for high-quality, individualized care across Arkansas. 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Join us at Arkansas Provider Coalition and be a part of a team dedicated to providing the highest quality of care and achieving the highest satisfaction of our members. Apply today to make a meaningful impact in the lives of your community!
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The Church of Jesus Christ of Latter-day SaintsFind your next job within Church employment: http://careersearch.churchofjesuschrist.org
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Underwriting & Regulatory Counsel
PLACE Corporate CareersPLACE is shaping the future of real estate. We are revolutionizing the real estate industry with advanced technology and innovative strategies. Our intuitive platform simplifies the real estate process, providing clients with the tools and insights needed to excel. Transactly is now proudly a PLACE-owned company. At Transactly, we are building the future of real estate services.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking an Underwriting and Regulatory Counsel to provide legal, underwriting, and regulatory leadership across Southwest Land Title (SWLT) and Blueprint Title as we continue to scale nationally. The Underwriting and Regulatory Counsel will serve as the primary underwriting and regulatory authority supporting both Southwest Land Title and Blueprint Title operations. This role combines traditional underwriting counsel responsibilities with regulatory strategy, compliance oversight, and operational support for a fast-growing multi-state title platform. - Evaluate insurability of complex transactions - Provide guidance on compliance and regulatory matters - Oversee licensing and audits - Support market expansion - Develop operational knowledge resources for title and escrow teams This role requires someone who is both strategic and execution-focused , capable of advising leadership while also ensuring day-to-day regulatory and underwriting operations run smoothly. The Underwriting and Regulatory Counsel will report to the General Counsel at PLACE and partner closely with Operations, Escrow, Title, Finance, and Executive Leadership at Blueprint Title. Qualifications - JD and admission to a State Bar in good standing - 7+ years of experience in insurance regulatory law and/or title insurance underwriting - Strong understanding of insurance regulatory frameworks and multi-state licensing requirements - Experience advising operational teams in a fast-paced, high-growth environment - Ability to communicate clearly and effectively with senior leadership and cross-functional teams - Demonstrated ability to manage complex regulatory and underwriting issues with practical solutions - Preferred: - Title insurance experience - Startup or high-growth company experience - Familiarity with regulations affecting real estate transactions including TILA, RESPA, ECOA, and FCRA Requirements - Serve as Underwriting and Regulatory Counsel to Southwest Land Title and Blueprint, providing legal and underwriting guidance across operations. - Responsibilities include: - Evaluate and make determinations on the insurability of real estate transactions - Review and approve limit-breach requests and other underwriting exceptions - Provide guidance on complex title issues, risk analysis, and underwriting standards - Serve as the escalation point for risky, complex, or compliance-sensitive transactions - Partner with title and escrow teams to resolve curative and underwriting issues efficiently - Provide practical legal guidance that balances risk management with operational efficiency - Ensure both entities operate in compliance with all applicable insurance and regulatory frameworks. - Responsibilities include: - Oversee regulatory compliance for all entity and individual licensing across SWLT and Blueprint - Ensure compliance with state insurance regulations, NAIC guidance, and applicable insurance laws - Monitor and analyze legislative and regulatory developments impacting title operations - Identify regulatory risks and develop practical mitigation strategies - Review internal policies and operational processes to ensure ongoing regulatory compliance - Support the company’s continued geographic growth and market expansion. - Responsibilities include: - Drive market expansion and licensing efforts for SWLT and Blueprint - Manage all required regulatory steps for new state launches including: - Entity licensing - Individual licensing - Certificates of authority - Fingerprinting and background requirements - Office compliance requirements such as sub-leases - Ensure new market launches meet all regulatory requirements prior to production - Maintain and manage required regulatory filings and insurance compliance programs. - Responsibilities include: - Oversee preparation and submission of state Department of Insurance filings - Ensure compliance with Holding Company Act requirements and other regulatory reporting - Manage insurance rates, forms, and regulatory filings in expanding markets - Maintain regulatory policies and documentation required for insurance operations - Lead and manage regulatory examinations and claims-related matters. - Responsibilities include: - Manage all audits for SWLT and Blueprint, including internal and regulatory audits - Coordinate responses to Department of Insurance examinations and market conduct reviews - Serve as the primary liaison for DOI complaints and regulatory inquiries - Manage and coordinate title claims requests - Partner with operations leadership to identify and mitigate recurring risk issues - Oversee compliance infrastructure and vendor relationships. - Responsibilities include: - Manage the compliance vendor relationship - Ensure compliance systems support regulatory reporting, operational compliance, and audit readiness - Continuously improve compliance workflows as the company scales - Ensure underwriting and regulatory requirements are translated into practical operational guidance. - Responsibilities include: - Develop and maintain a state-by-state production knowledgebase for operational teams - Design and deliver training programs for title and escrow staff - Provide ongoing education to teams on underwriting standards, regulatory requirements, and risk management - Serve as a key internal resource helping teams operate confidently within regulatory and underwriting frameworks Benefits - Help modernize and scale a next-generation title platform - Work closely with senior leadership on strategic regulatory and underwriting decisions - Play a critical role in multi-state expansion - Join a team focused on innovation, efficiency, and customer experience

