, Nevada

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 I or II
Work Location – Candidate must reside i PST
Hours are Monday- Friday 9 am-6 pm PST

Responsible for managing psychiatric and substance use 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 following 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.

Qualifications

•    Requires a Master’s degree in social work, counseling, or a degree in nursing
•    Requires 3 years of clinical experience providing treatment to individuals with complex psychiatric and or substance use disorder diagnosis in an inpatient or outpatient setting
•    Requires Current active unrestricted license to practice as an RN LCSW LPC LMFT or Clinical Psychologist within the scope of licensure in the state you reside in
•    Requires experience working on multiple computer platforms simultaneously
•    Requires excellent typing skills
•    Preferred experience in utilization management
•    Preferred experience in managed care


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. 
 

, Nevada

If you’re a reserve or veteran member of the military, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Anthem — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time. 

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military 

WE ARE HIRING

Anthem, Inc. is currently seeking military veterans and military spouses with operations experience.  Whether your experience is hands-on as an operational specialist or in operational leadership, Anthem wants to have an impact on your career and professional growth by speaking with you about their career opportunities.

If you are interested in learning more, check out Anthem's current open positions to the right for more information and to apply today!

Not sure where to start?  Send RecruitMilitary Success Manager, Taylor Groves, your questions at taylor.groves@recruitmilitary.com 

 

Similar jobs