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Behavioral Health Case Mgr l o...

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Job Summary

Company
Anthem
Location
Johnson City, TN
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_PS4767

Behavioral Health Case Mgr l or II - Medicaid - Tennessee Tri-City Area (PS4767)

About the Job

Description

Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, 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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Location: This position will be based in the Tri-City area. You will work from home, but will be required to travel about 30% of the time in the Tri-City and surrounding counties. You must reside in the local area.

The Behavioral Health Case Manager l or ll (focused on TennCare adult psychiatric population) is responsible for performing case management, telephonically and by facility visits, within the scope of licensure for members with behavioral health and/ or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as psychosis, anxiety, depression, 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 post-license 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 as an RN, LCSW, LMSW, LMHC, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the State of Tennessee required.

  • This role will require experience working with the adult psychiatric population

  • Experience working within TennCare a plus.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

 

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