Anthem, Inc. Behavioral Health Care Manager Lead $1000 Sign On Bonus in Greensboro, North Carolina
SHIFT: Night Job
Your Talent. Our Vision. At Healthy Blue, a strategic alliance of Blue Cross NC and Amerigroup, an Anthem Inc. company, 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 healthcare.
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 benefits companies and a Fortune Top 50 Company.
Behavioral Health Care Manager Lead Location: Remote North Carolina (prefer candidates that live within 100 miles by car to Winston-Salem, NC) Hours: This is an evening rotational schedule and is eligible for shift differential: 1st week: Monday 5pm-5:30am or 8:30pm-8am Saturday and Sunday: 7am-7 pm or 7pm-7am 2nd week: Tuesday-Friday 5pm-3:30am or 9:30pm-8am
We service our members 24 hours/ 7 days per week. This is a 24 hour/7 day a week center. Currently we are seeking candidates for full-time positions that will work after hours shifts, this may include weekends, and holidays.
Responsible for coordinating workflows for care management of psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary duties may include but are not limited to: Coordinating utilization management process including appropriate use of UM Clinical Guidelines to refer cases to Peer Reviewers. Implements and monitors care management programs for complex cases. Coordinates with internal and external resources to meet the identified needs of members. Functions as resource to other BH Care Managers regarding the monitoring of all aspects of members' behavioral health needs. Conducts audits and serves as senior member in care management unit. Will serve as a resource to other BH Care Managers regarding care management workflow. Assists with more complex cases and participates in inter and intradepartmental teams projects and initiatives. Assists in training/mentoring of new hires.
Requires MS or MA in social work counseling or related behavioral health field or a degree in nursing; 5+ years of experience with facility-based and/or outpatient 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, LPC, LMFT, LCMHC or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of North Carolina required.
Candidates must reside in North Carolina.
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required. Prior managed care experience required.
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. 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.