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Anthem, Inc. Clinical Behavioral Health Case Mgr I - NE Medicaid in Lincoln, Nebraska

Description

SHIFT: Day Job

SCHEDULE: Full-time

WellCare Nebraska and WellCare Missouri are now proud members of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals. 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.

Clinical BH Case Manager l – Lincoln, Nebraska - Medicaid (PS42587)

Location: This position will allow you to work from your home office. In the future, you will work from home and up to 50% of the time in the field in the Lincoln and/or surrounding areas supporting our members. You must reside in, or near the Lincoln, NE area.

The Behavioral Health Case Manager l is responsible for performing case management telephonically and (in the future) by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Primary duties may include but are not limited to:

  • Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

  • Conducts assessments to identify individual needs and develops 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.

Qualifications

  • Requires MS or MA in social work, counseling, or a related behavioral health field or a degree in nursing; 3 years clinical experience in social work counseling with broad range of experience with complex 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 as an LCSW, LMHC, LPC, LMFT, RN, or Clinical Psychologist required.

  • 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 preferred.

  • In the future, must be willing to visit members in the field. Currently this is a telephonic role.

  • Case Management experience preferred.

  • Knowledge of Medicaid a plus.

  • Proficient using Microsoft programs.

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.

REQNUMBER: PS42587

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