Behavioral Health Case Manager I
Company: Anthem Inc.
Location: waukesha
Posted on: May 3, 2021
Job Description:
Description SHIFT: Day JobSCHEDULE: Full-timeYour 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. BH Case
Manager IThis position is a telephonic and field based position
that will be located in Wisconsin with up to 50% of local travel
within assigned territory.Note: Temporarily not doing field work.
Telephonic outreach only due to the pandemic. Location: Work at
home. Must reside in Milwaukee, Waukesha County, Kenosha County, or
Racine County WisconsinResponsible for telephonic and field-based
care case management within the scope of licensure for members with
complex and chronic care needs by assessing, developing,
implementing, coordinating, monitoring, and evaluating care plans
designed to optimize member health care across the care continuum.
Performs duties telephonically or on-site such as at hospitals for
discharge planning. Primary duties may include, but are not limited
to: Ensures member access to services appropriate to their health
needs. Conducts comprehensive assessments to identify individual
needs and develops a member-centric specific care management
treatment plan to address objectives and goals as identified during
assessment. Implements care plan by facilitating
authorizations/referrals as appropriate within benefits structure
or through extra-contractual arrangements. Coordinates internal and
external resources to meet identified needs. Monitors and evaluates
effectiveness of the care management treatment plan and modifies as
necessary. Interfaces with Medical Directors and Physician Advisors
on the development of care management treatment plans. Assists in
problem solving with providers, claims or service issues. Assists
with development of utilization/care management policies and
procedures Ensures member access to services appropriate to their
health needs. Works as part of an integrated team to ensure best
health outcomes of assigned members.Qualifications Requires MS or
MA in social work, counseling, or a related behavioral health field
3 years clinical experience in social work or counseling with broad
range of experience with complex psychiatric and substance abuse
treatment; or any combination of education and experience, which
would provide an equivalent background. Current active unrestricted
license as an LCSW, or LPC or LMFT (as applicable by state law and
scope of practice) Experience in case management and telephonic
coaching with members preferred. Substance Abuse Counselor
Certification preferred Local travel required Bilingual in Spanish
strongly preferred*Note: Due to the pandemic field-work is
currently on hold but will be part of the duties in the
future.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.
Keywords: Anthem Inc., Waukesha , Behavioral Health Case Manager I, Other , waukesha, Wisconsin
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