Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Behavioral Health Case Manager I, II, III, Lead (Job Family) in Flushing, New York

Description

SHIFT: Day Job

SCHEDULE: Full-time

Case Manager I, II, III, Lead (Job Family) Remote

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?

Please note: The BH Case Mgr (CM) job progression is primarily member facing and involves complete clinical assessment. Whereas the BH Care Manager (UM) job progression is primarily a provider facing role although it does involve some member facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the appropriate level of care.

Case Manager I Responsibilities: Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.

Case Manager II, III Responsibilities: Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc.

Case Manager Lead Responsibilities: Responsible for coordinating operations and workflows related to care management activities that support the Case Management Program.

How you will make an impact as a Case Manager I, II, or III:

  • 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. *

  • Responds to more complex cases and account specific requests.**

  • Serves as a resource to other BH Case Mgrs.**

  • Participates in cross-functional teams projects and initiatives.**

  • Assists with more complex cases and will participate in inter- and intradepartmental teams projects and initiatives.*

  • Will serve as key support to the BH Case Manager Ld in implementing identified operational processes/ key projects.*

  • Will develop expertise in specified areas of business needs to assist management with unit operations.*

    * Applies to Case Manager I, II, III **Applies to Case Manager II and III *Applies only to Case Manager III

    How you will make an impact as a Case Manager Lead:

  • Provides support to member facing BH Case Mgrs and other Care management associates.

  • Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment.

  • Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved.

  • Facilitates weekly clinical rounds and may conduct quality audits.

  • Works with the manager to ensure individual team and overall operational metrics are achieved.

  • Supports various projects and initiatives as assigned.

  • Assists with process improvement activities for regulatory requirements.

  • Acts as departmental liaison to other areas of the business unit.

  • Primary support with training/mentoring new hires.

  • Participates in cross-functional teams projects and initiatives.

  • Serves as a member of the leadership team.

Qualifications

Minimum Requirements for Case Manager I:

  • Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 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 such as RN, LCSW (as applicable by state law and scope of practice) LMHC, LICSW, LPC (as allowed by applicable state laws) LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

    Preferred Skills, Capabilities and Experiences for Case Manager I

  • 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.

  • For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.

    ———————

    Minimum Requirements for Case Manager II

  • Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of 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 such as RN LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States 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.

  • For Government business only LAPC, LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.

    Preferred Skills, Capabilities and Experiences for Case Manager II

  • Experience in health coaching and motivational interviewing techniques preferred.

    ———————

    Minimum Requirements for Case Manager III

  • Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 4 years of 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 such as RN LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

  • Extensive 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 required.

  • Managed care experience required.

  • For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.

    Preferred Skills, Capabilities and Experiences for Case Manager III

  • Experience in health coaching and motivational interviewing techniques preferred.

    ———————

    Minimum Requirements for Case Manager Lead

  • Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 5 years of 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 such as RN, LCSW, LMHC, LICSW, LPC (as allowed by applicable state laws) LMFT, LMSW (as allowed by applicable state laws) or clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

  • Extensive 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.

  • For Government business only LAPC, LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.

    Preferred Skills, Capabilities and Experiences for Case Manager Lead

  • Experience in health coaching and motivational interviewing techniques preferred.

Applicable to Colorado Applicants Only

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Behavioral Health Case Manager I:

  • Annual Salary Range: $58,320 - $76,545

Behavioral Health Case Manager II

  • Annual Salary Range*: $62,640 - $82,215

Behavioral Health Case Manager III

  • Annual Salary Range: $67,360 - $88,410

Behavioral Health Case Manager Lead:

  • Annual Salary Range: $73,040 - $95,865

  • 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 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. 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 race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

    REQNUMBER: 0164592-New%20York

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