Anthem Behavioral Health Case Manager I,II,III - Remote in OH,IN,KY,MO,TN,TX,WI - PS9908 in Denver, Colorado

Behavioral Health Case Manager I,II,III - Remote in OH,IN,KY,MO,TN,TX,WI - PS9908

Location: United States

Field: Medical

Requisition #: PS9908

Post Date: Aug 01, 2018

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 benefits companies and a Fortune Top 50 Company.

Location - Remote in OH,IN,KY,MO,TN,TX,WI.

The BH Case Manager I, II, III

The BH Case Manager (CM) job progression is primarily member facing and involves complete clinical assessment.

Responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance Use Disorder needs. Subject matter expert in Integrated Care with targeted clinical areas of expertise such as dementia, substance abuse, schizophrenia, and bipolar disorders.

Primary duties may include but are not limited to:

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

  • Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.

  • Monitors and evaluates effectiveness of care plan and modifies plan as needed.

  • Supports member access to appropriate quality and cost effective care.

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

  • Responds to more complex cases and account specific requests. Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

  • Serves as a resource to other BH Case Managers.

  • Participates in cross-functional teams projects and initiatives.

  • This position can be hired at either the level I, level II, or level III

Qualifications:

BH Case Manager I

  • Requires MS or MA in social work, counseling, or a related behavioral health field or a degree in nursing and 3 years of clinical 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 as an RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state that you are applying for

  • 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 preferred.

  • 2 years of Behavioral Health background in a psychiatric setting preferred

  • Diabetes terminology and experience preferred

  • Strong Behavioral Health and Disease Management required

  • Microsoft office required

  • Must have or be willing to obtain a Landline

  • Must be at least 1 hour away from an Anthem office

BH Case Manager II

  • Requires MS or MA in social work counseling or a related behavioral health field or a degree in nursing and 3- 4 years of clinical experience in social work counseling with 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 as an RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state that you are applying for

  • 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 case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

  • 2 years of Behavioral Health background in a psychiatric setting preferred

  • Diabetes terminology and experience preferred

  • Strong Behavioral Health and Disease Management required

  • Microsoft office required

  • Must have or be willing to obtain a Landline

  • Must be at least 1 hour away from an Anthem office

BH Case Manager III

  • Requires MS or MA in social work counseling or a related behavioral health field or a degree in nursing and 4-5 years of clinical experience in social work counseling with 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 as an RN LCSW LMHC LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state you are applying for required.

  • 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.

  • Strong Behavioral Health and Disease Management required

  • Managed care experience required.

  • Experience in health coaching and motivational interviewing techniques preferred.

  • Microsoft office required

  • Must have or be willing to obtain a Landline

  • Must be at least 1 hour away from an Anthem office

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.