Behavioral Health Care Manager

<p>Your Talent. Our Vision. <strong>At Anthem, Inc.,</strong> it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and <strong>together we will drive the future of health care.</strong></p>


Anthem, Inc. - Behavioral Health

Anthem is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With over 74 million people served by its affiliated companies, including approximately 40 million within its family of health plans, Anthem is one of the nation's leading health benefits companies.

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Overview: <p style="vertical-align: top;"><strong><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">Anthem, Inc.</span></strong><span style="font-size: 10.0pt;"> is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions. </span></p> <p style="vertical-align: top;"><span style="font-size: 10.0pt;">Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people's lives, and to take your career further than you can imagine.&nbsp;<br /><br />This is an exceptional opportunity to do innovative work that means more to you and those we serve.<br /></span></p> <p><strong>***May be hired as a Behavioral Health Care Manager l,ll, or lll depending upon level of education, skills, and relevant experience.***</strong></p>
Responsibilities: <p>Responsible for managing psychiatric and substance abuse or 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:</p> <ul> <li>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.</li> <li>Refers cases to Peer Reviewers as appropriate.</li> <li>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.</li> </ul>
Requirements: <p><strong>Requirements </strong></p> <ul> <li>Requires MS or MA in social work, counseling, nursing or a related behavioral health field; 3 years 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.</li> <li>Current unrestricted&nbsp;license from the&nbsp;applicable states (NY/TX/PA/IN/MO)&nbsp;as an&nbsp;LMHC, LCSW, LPC (as allowed by applicable state laws), Marriage and Family Therapist, LMSW, or RN&nbsp;required.</li> <li>Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.</li> <li>EOE.M/F/Disability/Veteran</li> </ul> <p><strong><br />Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran. <br /><br /></strong>*WARNING : Please beware of phishing scams that promote work-at-home opportunities and which may also pose as legitimate companies. Please be advised that an Anthem recruiter will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application.</p>