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Case Manager, Behavioral Health - $1,000 SIGN ON BONUS in Eagan, MN at Anthem, Inc.

Date Posted: 11/23/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
 
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program. 


Behavioral Health Case Manager
Level I/II/III (Job Family) Eagan, MN   PS2786


Work Location: Eagan, Minnesota
This is an office based position - Monday-Friday 8 a.m. - 5 p.m.


Key Qualifications:
• Current active unrestricted license as an RN, LICSW, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Minnesota required. 
• For Government business only  LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.





Responsible for performing case management telephonically and/or by home visits 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. 


Level II:
Primary duties may include  but are not limited to: 
• Serves as a resource to other BH Case Mgrs. 
• Assists with more complex cases  and will participate in inter- and intradepartmental teams  projects and initiatives. 
• Will serve as key support to the BH Case Manager Ld in implementing identified operational processes/ key projects. 
• Will develop expertise in specified areas of business needs to assist management with unit operations. 
• Responds to more complex cases and account specific requests. 
• Uses appropriate screening criteria  knowledge and clinical judgment to assess member needs. 
• Conducts assessments to identify individual needs and develops specific 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. 
• Serves as a resource to other BH Case Mgrs. 
• Participates in cross-functional teams  projects and initiatives.  




Level III:
•Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED)  Maternity  Alcohol / Drug  Autism Spectrum Disorders (ASD)  etc. 


Primary duties may include  but are not limited to: 
• Serves as a resource to other BH Case Mgrs. 
• Assists with more complex cases  and will participate in inter- and intradepartmental teams  projects and initiatives. 
• Will serve as key support to the BH Case Manager Lead in implementing identified operational processes/ key projects. 
• Will develop expertise in specified areas of business needs to assist management with unit operations. 
• Responds to more complex cases and account specific requests. 
• Uses appropriate screening criteria  knowledge and clinical judgment to assess member needs. 
• Conducts assessments to identify individual needs and develops specific 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. 
• Serves as a resource to other BH Case Mgrs. 
• Participates in cross-functional teams  projects and initiatives. 


Please note: The BH Case Mgr job progression is primarily member facing and involves complete clinical assessment. 

Level I:
• Requires MS or MA in social work, counseling, or a related behavioral health field or a degree in nursing; 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. 
• Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. 


Level II:
Requires MS or MA in social work  counseling or a related behavioral health field or a degree in nursing; 4-5 years of 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. 
Experience in health coaching and motivational interviewing techniques preferred.




Level III:
• Requires MS or MA in social work  counseling or a related behavioral health field or a degree in nursing; 4-5 years of 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. 
• Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders required. 
• Managed care experience required. 
• Experience in health coaching and motivational interviewing techniques preferred.





Key Qualifications:
• Current active unrestricted license as an RN, LICSW, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Minnesota required. 
• For Government business only  LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.


Licensure specific to Minnesota:
LICSW (Licensed Independent Social Worker) 
LPCC (Licensed Professional Clinical Counselor) 
Licensed Psychologist
LGSW (Licensed Graduate Social Worker) 

• Experience working with Children/Adolescents and Adults.

• Managed Care experience.
• Community Mental Health experience; knowledge of state resources.


Note: This position may be filled at the BH Case Manager I, II or III level.  The manager will determine level based upon the selected applicant’s skillset relative to the qualifications listed for this position.


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.