Anthem

Anthem

Lufkin, TX

Behavioral Health Care Manager I/II Health Insurance Jobs - Remote

Lufkin, Texas Jobs

75904 Jobs

Anthem Jobs

Medical and Health Services Managers Jobs

$97,274 - $118,890

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Description

SHIFT Day Job
SCHEDULE : Full-time

You are a great talent. Anthem Inc.'s Vision. This is a strong combination that will enable us to create greater access for members and better value for customers. It'll also help our community's health. We will jointly drive the future health care. Join us.

It is an extraordinary opportunity to innovate and make a difference in the lives of those you serve. This company is one of America's top health benefit companies, and Fortune Top 50.

*May be hired at Level I/II, depending on manager discretion and experience. *

BH care manager I/II is responsible for the management of psychiatric or substance abuse disorders facility-based or outpatient professional treatment benefits via telephonic and written review.

Some primary duties could include, but not be limited to:

  • Utilizes clinical judgement and knowledge of appropriate screening criteria to determine member's needs. This will ensure that members have access to quality, medically-necessary behavioral healthcare at a reasonable cost. In accordance with UM Clinical Guidelines.
  • Refers cases as necessary to peer reviewers
  • To promote high quality outcomes for members, to maximize their health benefits and promote the effective use of community resources and health benefits.

Qualifications

Requirements

  • An MS in counseling, a related field of behavioral health or nursing degree is required. You will also need to have 3-4 years experience in facility-based or outpatient treatment for substance abuse and psychiatric disorders.
  • Current unrestricted active license, such as RN LCSW LPC or LMFT for practice as a healthcare professional in the State of residence.
  • Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.
  • Experience in managed care preferred.
  • Required: Background in Behavioral Health (outpatient or inpatient)
  • Prefer UM experience
  • Strong oral, written, and interpersonal communication skills are required. Problem-solving skills and facilitation skills are also needed.
  • The schedule is Monday through Friday, 9:00am to 5:30pm PST and 12:30 to 8:30 pm EST.
  • This position is remote work; you must be able to commute reasonably far to Anthem.

Anthem, Inc. was ranked by Fortune magazine as the America's Most Admired Company among all health insurance companies. It is also a DiversityInc magazine Top 50 DiversityInc Magazine company for diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Job ID: 5711303607004310212

This job is located in

Lufkin, Texas, 75904

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