, Florida

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
creatinggreater 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.

Behavioral Health Care Manager I
Hours: 8:30 am-5:30 pm
Location: W@H position preferably in GA; must be within a commutable distance to an Anthem
office.


The BH Care Manager (UM) job progression is primarily a provider facing role although it does involve some member
facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are
directed to the appropriate level of care. 


RESPONSIBLITIES
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:
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.

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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s
Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for
Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com.
Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

An Equal Opportunity Employer/Disability/Veteran.

Qualifications

QUALIFICATIONS:
Requires MS or MA in social work counseling or a related behavioral health field or a degree in nursing; 3 years of
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.
Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws)
LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or
territory of the United States required. Licensure is a requirement for this position.
However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all
of the following criteria are met; performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA)
services only, and there is licensed staff supervision.
Previous experience in case management/utilization management with a broad range of experience with complex
psychiatric/substance abuse cases preferred.
Prefer strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical
skills.

, Florida

If you are active-duty military, reserve, or a military veteran, 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 for a variety of open roles.  Our immediate needs include Support Technical Engineer, Lead Engineer, Developer, Systems Analyst, Network Data Specialist, and Provider Network Manager roles.  Whether you are looking to transition into an IT career or if you have experience under your belt in the Technology field, 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!