Anthem, Inc. Manager Behavioral Health Services – CM Foster Care / Medicaid in Roanoke, Virginia
SHIFT: Day Job
Manager Behavioral Health Services – CM Foster Care / Medicaid VA Location: Virginia Work at Home Virginia residency and Clinical Licensure is required.
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?
The Manager Behavioral Health Services is responsible for overseeing Behavioral Health Case Management and Care Coordination of our members with serious mental illnesses, substance abuse related disorders and our Foster Care Members in Virginia.
Primary duties include, but are not limited to: • Manages a team of licensed clinicians and non-clinical support staff engaged in outreach to members. • Oversees staff assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensures member access to services appropriate to their health needs. • Monitors and evaluates effectiveness of care plans. • Manages case consultation and education to customers and internal staff for efficient utilization of behavioral health services. • Supports process improvement and quality assurance activities. • Ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member contracts. • Facilitates collaboration across departments to ensure cost effective and quality member care. • Serves as a resource for medical management programs. • Identifies and recommends revisions to policies/procedures. • Ensures staff adheres to accreditation guidelines. • Supports quality improvement activities. May assist with implementation of cost of care initiatives. • May attend meetings to review case management process and discusses facility issues. • Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Qualifications • Virginia residency required. • Requires current, active, unrestricted Virginia license as an LCSW, LPC, RN, LMHC, LMFT, or Clinical Psychologist to practice as a health professional. • M.S. degree in social work, counseling, psychology, other related behavioral health field, or nursing is required. • Extensive experience in case management and telephonic coaching with members having a broad range of complex psychiatric/substance abuse and/or medical disorders is required. • Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment is required. • 5 years of clinical experience with facility-based and/or outpatient psychiatric treatment working with persons who have serious mental illnesses, substance abuse, or substance abuse related disorders is required. Preferred Qualifications • Previous management experience, in a healthcare environment, is preferred. • 3-5 years of experience working with Foster Care population • Strong skills in Microsoft Office to include Word, Excel, and Outlook.
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 firstname.lastname@example.org for assistance.