BH Case Mgr I/II-Job Family
Company: Anthem, Inc
Location: San Antonio
Posted on: June 26, 2022
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Job Description:
Description
SHIFT: Day Job
SCHEDULE: Full-time
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?
Job Description:
BH Care Manager I
This position is both telephonic and field based. You will support
our members with approximately 50% of field work in the San Antonio
territory. (Note: Temporarily not doing field work. Telephonic
outreach only due to the pandemic). Responsible for performing case
management telephonically and/or by home visits within the scope of
licensure for members with behavioral health, physical health and
substance abuse or substance abuse disorder needs.
+ 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.
+ Performs psychiatric and substance abuse or substance abuse
disorder assessment coordination implementation case planning
monitoring and evaluating to promote quality member outcomes to
optimize member health benefits and to promote effective use of
health benefits and community resources.
Behavioral Health Case Manager II
Job Description:
This position is both telephonic and field-based. You will support
our members with approximately 50% of field work in the San Antonio
territory. (Note: Temporarily not doing field work. Telephonic
outreach only due to the pandemic). Responsible for performing case
management telephonically and/or by home visits within the scope of
licensure for members with behavioral health, physical health and
substance abuse or substance abuse disorder needs.
Primary duties may include but are not limited to:
+ Completes face-to-face visits with the member in the home,
hospital, and other community settings, such as doctor's offices,
treatment centers, etc. (Temporarily, outreach is telephonic only
due to the pandemic.)
+ Responds to more complex cases and account specific requests.
+ Uses appropriate screening criteria knowledge and clinical
judgment to assess member needs.
+ Conducts assessments to identify individual needs and develops
specific 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.
+ Identifies members at high risk for complications and coordinates
care in conjunction with the member and the health care team.
+ Identifies members that would benefit from an alternative level
of care or other waiver programs.
+ Assists in problem-solving with providers and the health care
team.
+ Serves as a resource to other Case Managers.
+ Participates in cross-functional teams projects and
initiatives.
Qualifications
BH Care Manager I
Job Qualifications:
+ 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.
+ 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.
+ Managed care experience required.
Preferred Qualifications
+ Experience in health coaching and motivational interviewing
techniques.
+ Experience working on multiple computer platforms
simultaneously.
+ Excellent typing skills.
+ Experience working in a field-based position.
Behavioral Health Case Manager II
Minimum Requirements:
+ Must be located in the San Antonio, TX area and have the ability
to travel (temporarily telephonic only due to the pandemic) up to
50% in the San Antonio, TX area.
+ Requires MS or MA in social work counseling or a related
behavioral health field (or) a degree in nursing; 3- 4 years of
clinical experience in social work counseling with broad range of
experience with complex psychiatric, complex medical and substance
abuse or substance abuse disorder treatment; or any combination of
education and experience which would provide an equivalent
background.
+ Requires professional licensure such as an LPC, LCSW, LMFT or RN
to practice as a mental health service professional within the
state of Texas.
+ 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.
Preferred Qualifications
+ Experience in health coaching and motivational interviewing
techniques.
+ Experience working on multiple computer platforms
simultaneously.
+ Excellent typing skills.
+ Experience working in a field-based position.
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 ability@icareerhelp.com for assistance.
REQNUMBER: PS70388
Keywords: Anthem, Inc, San Antonio , BH Case Mgr I/II-Job Family, Other , San Antonio, Texas
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