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Behavioral Health Case Mgr l - HARP Health & Recovery Program - New York, NY (PS2062) in New York, NY at Anthem, Inc.

Date Posted: 3/1/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Empire Blue Cross Blue Shield Healthplus, a proud member of the Anthem, Inc. family of companies,  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. 

This is an exceptional opportunity to do innovative work that means more to you and those we serve. 

Work Location: This position will work partially in the New York office located at 9 Pine Street, New York, New York and the field. Once training requirements have been met, there may be an opportunity to work@home when not in the field. The role has a schedule that is a combination of telephonic case management and site visits with members, at facilities within the five boroughs of New York City (Manhattan, Brooklyn, Queens, The Bronx, and Staten Island).  Must be willing to travel within the five boroughs depending on case load.


The Behavioral Health Case Manager for HARP is responsible for performing telephonic and field case management within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. 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 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 members and collaborates with providers. 

  • Maintains an understanding of behavioral health benefits and remains current on covered or in-plan services, benefit limitations, exclusions, and care management policies and procedures.

  • Works as an effective member of the care management department and individual team.

  • Assumes responsibility for member's access to in-plan and/or supplemental services as medically necessary.

Job Requirements

  • MS or MA in social work, counseling, nursing or a related behavioral health field; 3 years clinical experience in social work, counseling with 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.

  • Current active unrestricted license as a RN, LCSW, LMSW, LMFT or LMHC to practice as a health professional within the scope of licensure in the state of New York.

  • Experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

  • Experience working with Microsoft Office (Outlook, Word, and Excel)

  • Experience working with electronic databases, multiple PC’s, and data entry.


  • Knowledge of best practices in behavioral health, including substance use disorders and treatment, emphasizing work with special needs populations and in public sector systems.

  • Knowledge of managed care functional areas, including terms and definitions.

  • Familiarity with New York State community-based programs, inpatient settings and ability to do in-person assessments with members and liaise with health plan partners

  • Proficient with electronic medical records/electronic charting.

  • Managed care experience a plus.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.