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Behavioral Health Case Manager I/II -- Virginia (statewide, remote) PS16416

PS16416 Requisition #
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ur 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. Together we can drive the future of health care.

Location:  If you live in the Richmond area, this position will work from our Richmond office for the first 6 months.  If you live outside this area, this is a Remote from home opportunity.  Occasional office visits are required.

This position supports our LTSS (Long Term Services and Support) members with serious mental health-related illness and/or substance abuse disorders, and is responsible for performing telephonic case management within the scope of licensure for these members. 

Primary responsibilities include, but are not limited to:
  • Use appropriate screening criteria, knowledge and clinical judgment to assess member needs. 
  • Conduct assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. 
  • Monitor and evaluate effectiveness of care plan and modifies plan as needed. 
  • Support member access to appropriate quality and cost effective care.
  • Coordinate with internal and external resources to meet identified needs of the members and collaborates with providers.  

  • Virginia residency is required.
  • Requires MS or MA in social work, counseling, nursing or related behavioral health field.
  • A current, active, and unrestricted LCSW, LPC, LMFT, or RN license in the state of Virginia is required.
  • Your experience must include a minimum of 3 years' clinical experience in social work, counseling with a 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.
  • Experience working with adults with serious mental illness and substance abuse disorders is required.
  • Community Mental Health experience; CSB (Community Service Board) experience, or similar is preferred.
  • Prior telephonic Case Management experience is preferred.
  • Previous Medicaid and/or Managed Care experience is preferred.
  • Local travel is required.  You must be comfortable visiting members in their homes or a care facility (mileage, tolls reimbursed).
  • You must be competent in MS Office suite to include Word, Outlook and Excel, along with the ability to use a laptop computer.

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

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Anthem Underwriting associates collaborate with some of the most skilled actuarial professionals in the business. Join us as we apply advanced research and risk analysis to deliver solutions that positively impact lives of consumers .

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