Anthem, Inc. BH Case Mgr II in Richmond, Virginia
SHIFT: Day Job
Be part of an extraordinary team!
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving high-performance culture that empowers you to make an impact?
Behavioral Health Case Manager II
Location: Bristol, TN (services are currently being delivered remote/telephonically but wil return to member-facing so clinicians must be willing to travel to serve members in Bristol and surrounding counties)
Work Hours/Shift: 8:00am-5:00pm M-F (EST)
Licensure: LPC, LCSW, LMHC, LMFT, LMSW or RN (Requires an active License which allows you to provide Mental Health services in Tennessee).
Duties & Responsibilities:
Responsible for performing case management telephonically and in-person within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs in Bristol and surrounding counties. 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:
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts assessments to identify individual needs and develops specific care plans 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.
Responds to more complex cases and account specific requests.
Requires MA/MS in counseling, social work or a related behavioral health field (or) a degree in nursing.
Minimum of 3 years of clinical experience in social work, counseling with broad range of experience with behavioral health diagnosis, 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 LPC, LCSW, LMHC, LICSW, LMFT, RN, LMSW or Clinical Psychologist to practice as a licensed mental health service provider in Tennessee.
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.
Experience in health coaching and motivational interviewing techniques preferred.
Prior experience providing in-person services to those with behavioral health diagnosis
Candidates that live in the Bristol region that are familiar with the area
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.
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.
Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact email@example.com for assistance.