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Job Family: Medical
Req #: PS36795-US
Date Posted: Sep 23, 2020
DescriptionSHIFT: Day Job
Manager II, Case Management
Location: Remote but must reside within 1 hour of an Anthem, Inc. office location. Preferable state is GA
Work schedule: Monday - Friday 8:00am - 5:00pm or 8:30am - 5:30pm EST
Responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Primary duties may include, but are not limited to: Responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract. Serves as mentor to lower leveled managers and as subject matter expert for other areas of the company and within the department. Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability. Develops and manages annual operating budget. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
QualificationsRequires a BA/BS in a health related field; 5 years of clinical experience; 2 years of prior management experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Certification as a Case Manager is preferred.
Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.