Mgr I/II Case Mgmt

Your Talent. Our Vision.&nbsp;<strong>At Anthem, Inc.,</strong>&nbsp;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&nbsp;<strong>together we will drive the future of health care.</strong>

Atlanta, GA

Anthem, Inc. - Case Manager

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.

keywords: innovation,management,quality assurance,training,license,degree,certification,management


Overview: <div><em><strong>Anthem&nbsp;</strong>is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are dedicated to improving the lives of the people we serve and the health of our communities. Anthem, Inc. strives to simplify the connection between health, care, and value for our customers.</em></div> <p>&nbsp;</p> <div><em><span style="font-family: Tahoma; font-size: small;">Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.</span></em></div>
Responsibilities: Responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Primary duties may include, but are not limited to: Responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requirements: <div id="requisitionDescriptionInterface.ID1417.row1" class="inlinepanel" title=""><span class="subtitle">Qualifications<br /><br /></span></div> <span class="blockpanel"><span class="">&nbsp;</span></span><span class="text" title="">Requires a BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Certification as a Case Manager is preferred. For URAC accredited areas the following applies: Requires a BA/BS; 5 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Certification as a Case Manager from the approved list of certifications and a BS in a health or human services related field preferred. Managers who have directly supervised the case management process for three or more years must hold a certification as a case manager and meet continuing education requirements to maintain licensure and certification.</span> <div><br />EOE. M/F/Disability/Veteran</div>