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BH Care Manager II

Company: Anthem, Inc
Location: Lubbock
Posted on: January 16, 2022

Job Description:

Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company. Behavioral Health Care Manager II (PS65001) Work Hours/Time Zone: 8:00am-5:00 pm M-F (CST) Serves Medicare plan and provides assistance to providers and members. Location: Remote, work from home Licensure Required: Licensed Clinical Mental Health Counselor, LCSW, LPC, LPCC, LMFT, or RN Must be licensed in state of residence This position is responsible for providing service to providers and members of Medicare plan. Includes managing psychiatric, substance abuse referrals and outpatient professional treatment health benefits through telephonic or written review. 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 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 team's projects and initiatives. Qualifications + Requires MA/MS in social work, counseling, clinical mental health counseling, marriage and family therapy or a related behavioral health field or a degree in nursing. + 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, LMHC, LPC, LPPC, LMFT or a Clinical Psychologist to practice as a health professional. **Must be licensed in state of residence** + 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. + Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Benefits: We offer a range of market-competitive total rewards that include: + Merit increases + Paid Holidays + Paid Time off + 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 The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to accommodate. Anthem will follow all relevant federal, state and local law. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For, is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions. REQNUMBER: PS65001

Keywords: Anthem, Inc, Lubbock , BH Care Manager II, Executive , Lubbock, Texas

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