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Anthem, Inc. Behavioral Health Case Manager Lead in Coconut Grove, Florida


SHIFT: Day Job

SCHEDULE: Full-time

Please note: The BH Case Mgr (CM) job progression is primarily member facing and involves complete clinical assessment. Whereas the BH Care Manager (UM) job progression is primarily a provider facing role although it does involve some member facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the appropriate level of care. Responsible for coordinating operations and workflows related to care management activities that support the Case Management Program. Primary duties may include but are not limited to: Provides support to member facing BH Case Mgrs and other Care management associates. Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment. Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved. Facilitates weekly clinical rounds and may conduct quality audits. Works with the manager to ensure individual team and overall operational metrics are achieved. Supports various projects and initiatives as assigned. Assists with process improvement activities for regulatory requirements. Acts as departmental liaison to other areas of the business unit. Primary support with training/mentoring new hires. Participates in cross-functional teams projects and initiatives. Serves as a member of the leadership team. Requires MS or MA in social work counseling or a related behavioral health field or a degree in nursing; 5+ 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. Extensive 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.

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 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: PS54479