Vacancy caducado!
BH Case Mgr II Field Based PS28792Location: Greenville, South Carolina, United StatesNewRequisition #: PS28792Your Talent. Our Vision. At Anthem, Inc., 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.Responsible for performing field-based and telephonic case management within the scope of licensure for members with behavioral health, physical health, and/or substance use disorder needs.Primary duties may include, but are not limited to:
Completes face-to-face visits with the member in the home, hospital, and other community settings, such as doctor's offices, treatment centers, etc.
Responds to more complex cases and account-specific requests.
Uses appropriate screening criteria, knowledge, and clinical judgment to assess members’ needs.
Conducts clinical assessments to identify individual needs and develops a member-centric 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 member and collaborates with providers.
Identifies members at high risk for complications and coordinates care in conjunction with the member and the health care team.
Support members with chronic illness, co-morbidities, and/or disabilities, to insure cost-effective and efficient utilization of health benefits, with consideration of social determinants of health.
Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and providers.
Identifies members that would benefit from an alternative level of care or other waiver programs.
Assists in problem-solving with providers and the health care team.
Serves as a resource to other behavioral health and physical health case managers.
Participates in cross-functional teams, projects, and initiatives.
This initiative can be filled between the Nurse Case Manager II position and the BH Case Manager II position.This opening will be located in the following area:
Upstate South Carolina - this includes the following territory: Greenville, Spartanburg, Pickens, Anderson or Laurens County areas of SC.
Remote. Up to 70% field work is required. You may be asked to come into the office for occasional meetings.
Qualifications:MS or MA in social work, counseling, related behavioral health field, or a degree in nursing.3- 4 years of clinical experience in social work / counseling with a broad range of experience with complex psychiatric or substance use disorder treatment.oOr any combination of education and experience, which would provide an equivalent background.Current active, unrestricted license as an RN, LCSW, LMHC, LPC, LMSW, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in South Carolina required.Previous experience in case management and face-to-face telephonic coaching with members, with a broad range of complex psychiatric, substance abuse, and/or medical disorders.Managed care experience preferred.Experience in health coaching and motivational interviewing techniques preferred.Home visit experience is strongly preferred.Problem solving mentality.Great written and verbal communication.Proficient in Microsoft Office.Computer literate.Proficient typing skills.Must live within the Greenville, Spartanburg, Pickens, Anderson or Laurens County areas of SC.Anthem, Inc. is ranked as one of America’s 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.
Vacancy caducado!