TurlockRecruiter
the smart solution for Turlock jobs

Behavioral Health Care Manager Job Family I or II PS19879

Company: Anthem, Inc
Location: Turlock
Posted on: May 13, 2019

Job Description:

Behavioral Health Care Manager Job Family I or II PS19879**Location:** **United States****New****Field:** Medical**Requisition #:** PS19879**Post Date:** 6 hours agoYour Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.Please Note: This position may be filled at either the Behavioral Health Care Manager I or II. Manager will determine level based upon the selected applicants skillset relative to the qualifications listed for this position."Behavioral Care Manager IResponsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.Primary duties may include, but are not limited to:Uses appropriate screening and medical necessity criteria for behavioral health inpatient and outpatient levels of careDemonstrates knowledge and clinical judgment to assess member needs to ensure access to medically necessary, quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.Refers cases to Peer Reviewers as appropriate.Performs psychiatric and substance abuse or substance abuse disorder assessment, coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes, to optimize member health benefits, and to promote effective use of health benefits and community resources.Behavioral Health Care Manager IIResponsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.Primary duties may include, but are not limited to:Uses appropriate screening and medical necessity criteria for behavioral health inpatient and outpatient levels of care.Demonstrates knowledge and clinical judgment to assess member needs to ensure access to medically necessary, quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.Refers cases to Peer Reviewers as appropriate.Performs psychiatric and substance abuse or substance abuse disorder assessment, coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes to optimize member health benefits, and to promote effective use of health benefits and community resources.Will serve as a resource to other BH Care Managers.Assists with more complex cases, and may participate in inter and intradepartmental teams, projects and initiatives.Locations for this position9133 W. Russell Road, Las Vegas NV, 89148 ( Work from home is an option in NV location, may have to travel to Norfolk VA for training)5800 Northhampton Blvd, Norfolk VA 23502 (Norfolk location is required to work in office)HoursThe department is open Monday - Friday 8AM to 8 PM EST you must be able to work any shift during those hours.Behavioral Care Manager IRequiresMS or MA in social work, counseling, nursing or a related behavioral health field;3 years experience with facility-based and/or outpatient 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 a RN, LCSW, LPC, LMFT, MFT to practice as a health professional within the scope of licensure in state of VA or NVExperience working with Microsoft Office (Outlook, Word, and Excel)Experience working with electronic databases, multiple PCs, data entry, and typingPrevious experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.Experience using Facets and Macess is preferredBehavioral Care Manager IIRequiresMS or MA in social work, counseling, nursing or a related behavioral health field;3-4 years experience with facility-based and/or outpatient 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 a RN, LCSW, LPC, LMFT, or MFT to practice as a health professional within the scope of licensure in VA or NVExperience working with Microsoft Office (Outlook, Word, and Excel)Experience working with electronic databases, multiple PCs, data entry, and typingPrevious experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required.Prior managed care experience requiredExperience using Facets and Macess is preferred.Anthem, Inc. is ranked as one of Americas 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.

Keywords: Anthem, Inc, Turlock , Behavioral Health Care Manager Job Family I or II PS19879, Executive , Turlock, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


SAFETY AND OCCUPATIONAL HEALTH MANAGER
Description: SAFETY AND OCCUPATIONAL HEALTH MANAGER Department of the ArmyArmy National Guard UnitsOverview--------- Open closing dates05/17/2019 to 05/24/2019- (more...)
Company: Army National Guard Units
Location: Sacramento
Posted on: 05/22/2019

Office Manager II - Block Advisors
Description: Office Manager II - Block Advisors Seeking retail office managers eager to advance their career by accelerating our seasonal business and a leading dynamic team of tax advisor professionals to deliver (more...)
Company: H&R BLOCK
Location: Sacramento
Posted on: 05/22/2019

Program manager
Description: Program Manager needs: Minimum of two 2 years of real-world Scrum coaching experience, guiding at least two 2 organizations through
Company: Global Channel Management, Inc.
Location: Roseville
Posted on: 05/22/2019


VICE PRESIDENT OF SALES - Consumer Product Goods (CPG) Sales
Description: VICE PRESIDENT OF SALES - Consumer Product Goods CPG Retail Sales Experienced Rapid Brands Sacramento, CA Office After appearing on ABCs hit show Shark Tank, Rapid Ramen, now Rapid Brands has grown (more...)
Company: Rapid Brands Inc.
Location: Sacramento
Posted on: 05/22/2019

Care Manager II
Description: Description: br Position Purpose : Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote (more...)
Company: Centene Corporation
Location: Sacramento
Posted on: 05/22/2019

Manager, Environmental Services
Description: Crothall Healthcare is a Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many of the Top (more...)
Company: Compass Group USA Inc
Location: Sacramento
Posted on: 05/22/2019

DIRECTOR OF MARKETING - Consumer Packaged Goods (CPG) Marketing Experienced
Description: DIRECTOR OF MARKETING - Consumer Packaged Goods CPG Marketing Experienced Rapid Brands Sacramento, CA Office After appearing on ABCs hit show Shark Tank, Rapid Ramen, now Rapid Brands has grown to (more...)
Company: Rapid Brands Inc.
Location: Sacramento
Posted on: 05/22/2019

Architectural Project Manager
Description: Job DescriptionThe Project Manager is responsible for the successful completion of a project, managing all phases of the project from conceptual design through construction document delivery. Project (more...)
Company: Taylor Design
Location: Sacramento
Posted on: 05/22/2019

Senior Construction Project Manager - San Jose, CA
Description: Position: Senior Construction Project Manager / Project Executive Location: San Jose, CA Our thriving Silicon Valley office is presently in need of a Senior Construction Project Manager / Project Executive (more...)
Company: TJG Civil Engineers and Land Planners
Location: Sacramento
Posted on: 05/22/2019

RN - Palliative Care Case Manager
Description: Apply today for the Registered Nurse Position for the Palliative Care Case Manager role in Carmichael, CA. Prior palliative care case
Company: Sunbelt Staffing
Location: Carmichael
Posted on: 05/22/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Turlock RSS job feeds