Anthem, Inc. Behavioral Health Care Manager I or II Job Family in Atlanta, Georgia
SHIFT: Day Job
BH Care Manager I or II Job Family Location: Remote work from home *May be hired as a Behavioral Health Care Manager Level l, or Level ll depending upon the level of education, skills, and relevant experience.
Be part of an extraordinary team We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Responsible for managing facility-based care with Psychiatric and Substance Abuse facility-based and outpatient benefits through telephonic or written review. Facility-based care includes Acute Inpatient, Detox, Residential, Partial Hospitalization, and Intensive Outpatient levels of care. 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 facility-based, psychiatric and substance abuse initial reviews and assessment of care, and continued stay reviews to ensure coordination, of care, case planning, monitoring, and evaluating facility-based care to promote quality member outcomes, to optimize member health benefits, and to promote effective use of health benefits and community resources • Will serve as a resource to other BH Care Managers. • Assists with more complex cases, and may participate in inter and intradepartmental teams, projects, and initiatives. • This Care manager job requires the candidate to be able to type very fast while they talk to the Utilization Review staff person on the phone and receiving from them specific details about how a member (patient) is doing. • Review information is either provided on the phone live or from their voicemail. • Ability to work on multiple computer platforms simultaneously to manage caseload in addition to excellent typing skills
Minimum 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 • Requires Current active unrestricted license to practice as an RN LCSW LMSW LPC LMFT LMHC 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 Qualifications • Case management or utilization management • Managed care
Applicable to Colorado Applicants Only Annual Salary Range*: $61,236 - $82,215 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. * The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact email@example.com for assistance.