Behavioral Health Care Manager II

Anthem, Inc. Torrington , CT 06792

Posted 2 months ago

Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it's a powerful combination. It's 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.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Position: Behavioral Health Care Manager II

Location: Remote near Boston, MA preferred - New England residents are welcome to apply.

Shift: 3:00pm-11:30pm EST

The Behavioral Health Care Manager II is responsible for managing psychiatric and substance abuse or substance use 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 criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary criteria to determine quality behavioral healthcare needs in a cost effective setting in accordance with UM Clinical Guidelines and contract.

  • Performs psychiatric and substance use or substance use disorder assessment, coordination, collaboration with providers and implementation of 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.

  • Case consultations with peers and supervisors regarding least restrictive outcomes.

  • Follow Documentation protocols to ensure next steps on cases are clearly identified.

  • Refers cases to Peer Reviewers as appropriate.

  • 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.

  • Address member Crisis calls and give referrals when needed.

  • Ensure that telephone answering protocols and contractual obligations are met.

Qualifications

Minimum Requirements

  • Education & Experience: M.S. or M.A. in social work or a related behavioral health field or a degree in psychiatric nursing required; 3-4 years of experience with outpatient psychiatric and substance use treatment required; or any combination of education and experience which would provide an equivalent background

  • Licensure Current active unrestricted independent clinical license in the state of MA such as LICSW, LMHC, LMFT, or RN to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

  • Must be willing to work one or two weekend shifts per month as well as holidays as needed.

  • Must be willing to work hours of 3:00pm11-:30pm EST.

Preferred Qualifications

  • Crisis work or emergency services experience preferred.

  • Previous experience in case management/utilization management preferred

  • Able to work Tuesday to Saturday shift. Highly desired but not required.

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.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2020 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Primary Care Behavioral Health Clinician (LcswPhdPsyd)

The Hartford

Posted 1 week ago

VIEW JOBS 1/6/2022 12:00:00 AM 2022-04-06T00:00 Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Monday-friday Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties. Job Description The Behavioral Health Clinician (BHC) provides clinical behavioral health services to primary care patients. As a member of the care team, the BHC receives referrals from the medical staff, consults with the referring PCP, and educates medical and office staff regarding behavioral health conditions. Qualifications Master's Degree in social work, Doctoral Degree in Psychology, or related field with current independent license to practice in Connecticut. (LCSW, PhD, PsyD) Minimum of three years of clinical experience. Demonstrated competency in assessment and brief cognitive and behavioral interventions. Experience working with individuals across the age range, couples, families and groups. Experience providing behavioral health services in a medical setting (preferably primary care). We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. The Hartford Torrington CT

Behavioral Health Care Manager II

Anthem, Inc.