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Director CareMore Patient Services--Behavioral Health (PMHNP required), Cerritos, # PS6639 in Cerritos, CA at Anthem, Inc.

Date Posted: 7/12/2018

Job Snapshot

Job Description

Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it’s a powerful combination.  It’s the foundation upon which we’re creating greater 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. 

Responsible for managing multiple Mental Health clinics/facilities through the implementation of patient satisfaction physician/psychiatrist support systems and other multi-disciplinary team to ensure patient full recovery, mentally and behaviorally.
Primary duties may include  but are not limited to:
  • Coordinates care and treatment of patients with mental illnesses and utilizes clinical expertise to evaluate care provided in each specialty area for appropriateness.
  • Monitors compliance with timeliness of communication with other providers.
  • Ensures comprehensive assessment and plan for patients with acute and chronic mental health conditions are completed.
  • Develops training schedule and orientation of new or current mental health clinicians.
  • Mentors Psych Nurse Practitioners to evaluate and assist in developing excellent clinical skills.
  • Manages patient needs in collaboration with psychiatrists, therapists, primary care physicians,  case managers, and other internal and external customers.
  • Assists with growth and development of mental health programs.
  • Implements Health Plan regulatory compliance within the department.
  • Responsible for ensuring quality objectives and clinical targets are met, to include key hospital and clinical care metrics.
  • Ability to innovate Models of Care and ensures collaboration between Psychiatric team, therapy team, and core general practice teams.
  • Develops best practices to advise other regions and collaborates with other market leaders.
  • Serves as subject matter expert on key behavioral health consultations with other medical providers.
  • Ensures that at risk behavioral health patients are seen in the Behavioral Health Program.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires Master’s Prepared in Nursing; 3-7 years management experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted RN license and NP license in applicable state required. Psychiatric NP certification preferred. For CareMore business units, satisfactory completion of a pre-placement Tuberculosis test is a requirement 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 EOE. M/F/Disability/Veteran.