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Manager I Case Mgmt - Remote i...


Job Summary

Fresno, CA
Other/Not Classified
Job Type
Full Time
Career Level
Experienced (Non-Manager)
Job Reference Code

Manager I Case Mgmt - Remote in Fresno or Sacramento, CA - PS4663

About the Job

Your Talent. Our Vision. At Anthem Blue Cross, a proud member of the Anthem, Inc. family of companies, 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. This is an exceptional opportunity to do innovative work that means more to you and those we serve.
Manager I Case Management - Remote in Fresno or Sacramento, CA
As the RN Manager, Nurse Case Management you would be responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs.
Primary duties may include, but are not limited to:
  • You are responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract.
  • You would hire, train, coach, counsel and evaluate performance of direct reports.
  • Most local travel to meet with county, Hospitals, Providers and community partners. Occasional travel outside local areas.
  • Requires a BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted RN license in the state of California required.
  • Certification as a Case Manager from the approved list of certifications preferred.
  • Managers who have directly supervised the case management process for 3 or more years preferred.
  • Candidate must reside in the Fresno or Sacramento area to meet with Hospitals, Providers and community partners.
  • Experience with managing a virtual team strongly preferred.
  • Strong presentation skill preferred.
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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