Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Director Behavioral Health Services in San Jose, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

We are hiring a Director of Behavioral Health Services for CA and NV. Responsible for directing both states' behavioral health services functions. Location: ‘Hybrid’ California Residency and Clinical License is required.

Primary duties may include, but are not limited to: Ensures appropriate utilization and administration and/or delivery of Behavioral Health Services. May lead team(s) of clinicians providing direct care services. Directs assessments, provides appropriate referrals and performs follow up to ensure the quality and appropriateness of services. Develops and maintains a positive relationship with providers, advocates, and state partners and works to maintain quality outcomes, proper billing, and coordination of care. Leads and participates in cross-functional corporate teams which design and implement new care/case/utilization management programs. Develops and implements process and program redesigns. Leads multiple teams of clinicians charged with promoting quality member outcomes, optimizing member benefits, and promoting effective use of resources. Ensures adherence to all contract, regulatory, and accreditation requirements. Develops short/long-term objectives and monitors processes and procedures to ensure consistency with the enterprise and compliance with state and federal regulations. Collaborates with Care Management partners to resolve issues or find solutions. Manages budget and special projects. Hires, trains, coaches, counsels, and evaluates the performance of direct reports.

Qualifications

Minimum Requirements Requires an MS in a mental health field (i.e. social work, counseling) or related field (i.e. nursing); 10 years of Behavioral Health clinical experience including case management and utilization management; 3 years leadership experience as a manager of people or any combination of education and experience which would provide an equivalent background Requires Current unrestricted independent clinical license in CA for a specific profession (i.e. LCSW, RN,) Preferred Qualifications: Medicaid experience preferred Managed care experience preferred

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. 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. 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: PS62758

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