Anthem, Inc. BH Case Mgr II in Las Vegas, Nevada
SHIFT: Day Job
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.
BH Case Manager II
This position is a field based position that will be located in the Clark County, NV (Las Vegas) with up to 75% of local travel.
Note: Temporarily not doing field work. Telephonic outreach only due to the pandemic.
Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health, physical health and substance abuse or substance abuse disorder needs.
Primary duties may include but are not limited to: • Completes face-to-face visits with the member in the home, hospital, and other community settings, such as doctor's offices, treatment centers, etc. (Temporarily outreach is telephonic only due to the pandemic.) • Responds to more complex cases and account specific requests. • Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. • Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment. • Monitors and evaluates effectiveness of care plan and modifies plan as needed. • Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers. • Identifies members at high risk for complications and coordinates care in conjunction with the member and the health care team. • Identifies members that would benefit from an alternative level of care or other waiver programs. • Assists in problem-solving with providers and the health care team. • Serves as a resource to other Case Managers. • Participates in cross-functional teams projects and initiatives.
• Must be located in the Las Vegas, NV area and have the ability to travel (temporarily telephonic only due to the pandemic) up to 75% in Clark County. • Requires MS or MA in social work counseling or a related behavioral health field or a degree in nursing; 3- 4 years of clinical experience in social work counseling with broad range of experience with complex psychiatric, complex medical 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 as an RN, LCSW, LMHC, LPC (as allowed by applicable state laws), LMFT, LAPC, LAMFT, LMSW (as allowed by applicable state laws), or Clinical Psychologist to practice as a health professional within the scope of licensure in Nevada is required. • Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. • Managed care experience required. • Experience in health coaching and motivational interviewing techniques preferred. • Experience working in a field based position.
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.