SHIFT: Day Job
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.
HOURS: 8:00 am - 5:00 pm Central
The Behavioral Health Care Manager I is responsible for managing
psychiatric and substance abuse disorder facility-based 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.
+ Requires a current active unrestricted license as an LCSW,
LISW, LMSW, LPC, LMFT, LMHC, or RN from the state in which you
+ Requires a minimum of 3 years of experience with
facility-based and/or outpatient psychiatric and substance abuse or
substance abuse disorder treatment.
+ Requires the ability to become licensed in the state of Iowa
in a timely manner.
+ Experience in utilization management with a broad range of
experience with complex psychiatric/substance abuse cases is
+ Experience in rehabilitation services preferred.
+ Bilingual English-Spanish language skills are helpful.
+ You must be competent in Microsoft Word, Excel, and
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. Anthem, Inc. is ranked as one of America's Most Admired
Companies among health insurers by Fortune magazine and has been
named a 2019 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.