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Mgr II - "Telephonic" Case Mgmt

Location:
Job Family: Medical
Req #: PS36795-US
Date Posted: Sep 23, 2020

Description

SHIFT: Day Job

SCHEDULE: Full-time

 

Your Talent. Our VisionAt Anthem, Inc., 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 at one of America's leading health care companies and a Fortune Top 50 Company.


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. 

Qualifications

Requires 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. 


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.
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