Anthem Manager I Case Management - Remote (EST preferred) - PS9913 in Hingham, Massachusetts

Manager I Case Management - Remote (EST preferred) - PS9913

Location: United States

Field: Medical

Requisition #: PS9913

Post Date: Jul 27, 2018

Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield , a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and 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.

Location: Remote in United States (EST Preferred)

The Manager I Case Management is 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 contact.

  • 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; 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.

  • Previous related managerial experience required.

For URAC accredited areas the following applies:

  • Requires a BA/BS; 5 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background.

  • Current and active RN license required in applicable state(s).

  • Certification as a Case Manager from the approved list of certifications and a BS in a health or human services related field preferred.

  • Managers who have directly supervised the case management process for three or more years must hold a certification as a case manager and meet continuing education requirements to maintain licensure and certification.

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 antheminc.com/careers at http://www.wellpoint.com/careers . EOE. M/F/Disability/Veteran.