BH Case Mgr II - Anthem, Inc (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.
Beacon Care Services is a part of Beacon Health Options, a leading behavioral healthcare company. We provide compassionate mental health care in convenient and familiar community locations where people live, work, and shop. Our licensed clinicians provide counseling and other behavioral health care services directly to consumers where and how they need it. At Beacon, our mission is to help people live their lives to their fullest potential.
Dir BG Programs & Services
Summary: Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc…
Primary duties may include, but are not limited to:
+ 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.
+ Serves as a resource to other BH Case Mgrs.
+ Participates in cross-functional 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 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 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.
+ 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.
+ For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
+ Experience in health coaching and motivational interviewing techniques preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
REQNUMBER: PS43995-US
* This article was originally published here