Anthem Blue Cross is a proud member of the WellPoint family of companies and is one of California’s oldest and largest health insurers. At Anthem, we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. This position is located in Woodland Hills, CA.
Responsible for the management of clinical staff in a medical management area, which may include utilization management, medical review, case management, etc. Essential duties may include, but are not limited to: Manages daily operation needs for the one or more areas of medical management. Manages implementation of local medical policies and procedures in collaboration with the Medical Director. Manages service issues within the unit to ensure that productivity, performance and quality standards are met. Identifies process and work flow issues as well as recommendations for improvement. Leads company project initiatives. Management duties to include hiring, training, coaching, counseling and evaluating performance of direct reports. Performs other duties as assigned.
Requires a current unrestricted California RN license. Requires a BS; 5 years of acute care clinical experience; 2 years or prior management experience; or any combination of education and experience, which would provide an equivalent background. Excellent written, oral and interpersonal communication skills required. Excellent analytical and problem-solving skills required. Strong computer skills, organizational skills, and tactical planning skills required. Must show evidence of leadership and project management skills. Strong HMO and Utilization Management experience as well as Case Management experience required.
WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers. EOE. M/F/D/V.
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