Behavioral Health Care Manager II - Anthem, Inc (Texas)
Description
SHIFT: Day Job
SCHEDULE: Full-time
Behavioral Health Care Manager ll (PS48702)
Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.
For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
Work Location : Work from Home Office.
The BH Care Manager ll is responsible for managing professional treatment health benefits for members with behavioral health, substance abuse, and intellectual and developmental (IDD) disorders (facility-based and outpatient) through telephonic or written review. Primary duties may include but are not limited to:
+ Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract.
+ Refers cases to Peer Reviewers as appropriate.
+ Performs behavioral health, IDD, 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.
+ Will serve as a resource to other BH Care Managers.
+ Assists with more complex cases and may participate in inter and intradepartmental teams’ projects and initiatives.
Qualifications
Requires:
+ MS or MA in social work counseling or a related behavioral health field or a degree in nursing; 3-4 years of experience with behavioral health, intellectual and developmental disabilities, 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, LMSW, LMHC, LPC, LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state where you reside.
+ Previous experience in case management/utilization management with a broad range of experience with complex behavioral health, IDD, and/or substance abuse cases required.
+ Prior managed care experience required, preferable supporting a state health plan.
+ Proficient using computer programs.
Applicable to Colorado Applicants Only
Annual Salary Range*: $62,640 - $78,300
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
* 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.
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: PS48702-Texas
* This article was originally published here
