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Anthem Utilization Management Jobs in California

My Time Recovery

Case Manager

Fresno, CA · On-site

$21 - $27.25/hr

Provide and delivers group and individual counseling services daily, case management services ... Complete Utilization Reviews as directed by supervisor * Drives clients as needed to appointments ...

BRMS

Client Manager I

Sacramento, CA · On-site

Respond to Anthem Blue Cross Utilization Management update requests * Appropriately escalate issues and opportunities to Upper Management as need be. * Provides feedback to assist in the creation of ...

BRMS Online

Client Manager I

Folsom, CA · On-site

$25 - $27/hr

Respond to Anthem Blue Cross Utilization Management update requests * Appropriately escalate issues and opportunities to Upper Management as need be. * Provides feedback to assist in the creation of ...

BRMS

Client Manager I

Folsom, CA · On-site

$25 - $27/hr

Respond to Anthem Blue Cross Utilization Management update requests * Appropriately escalate issues and opportunities to Upper Management as need be. * Provides feedback to assist in the creation of ...

BRMS Online

Client Manager I

Folsom, CA · On-site

Respond to Anthem Blue Cross Utilization Management update requests * Appropriately escalate issues and opportunities to Upper Management as need be. * Provides feedback to assist in the creation of ...

BRMS

Client Manager I

Folsom, CA · On-site

$25 - $27/hr

Respond to Anthem Blue Cross Utilization Management update requests * Appropriately escalate issues and opportunities to Upper Management as need be. * Provides feedback to assist in the creation of ...

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Anthem Utilization Management information

See California salary details

$21

$41

$68

How much do anthem utilization management jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for anthem utilization management in California is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is an Anthem Utilization Management?

An Anthem Utilization Management job involves reviewing healthcare services to ensure they are medically necessary and cost-effective. Professionals in this role analyze patient records, apply clinical guidelines, and collaborate with providers to determine coverage. They help manage healthcare costs while ensuring patients receive appropriate care. This position typically requires a background in nursing or healthcare and familiarity with insurance policies and regulations.

What does an Anthem Utilization Management do?

Professionals in Anthem Utilization Management are primarily responsible for reviewing medical authorization requests, assessing the necessity and appropriateness of care based on clinical guidelines, and communicating decisions to both providers and members. Daily tasks often include analyzing patient records, collaborating with physicians and care managers, and documenting determinations in specialized software systems. You may also participate in case rounds, handle appeals, and work closely with teams to ensure consistent adherence to policies and standards. The role requires a balance of independent review and team collaboration, offering a dynamic and meaningful contribution to patient care management.

What are the key skills and qualifications needed for Anthem Utilization Management?

To thrive in Anthem Utilization Management, you need a background in healthcare or nursing, strong analytical skills, and familiarity with medical terminology and insurance procedures, often evidenced by RN or LPN licensure or a relevant Bachelor's degree. Proficiency with utilization management software, electronic medical records (EMR), and knowledge of regulatory guidelines (such as CMS or NCQA) are typically required. Excellent communication, attention to detail, and problem-solving abilities are important soft skills for collaborating with providers and guiding patient care decisions. These competencies are crucial for ensuring efficient, compliant review of medical services and effective coordination across care teams.

What are popular job titles related to Anthem Utilization Management jobs in California?

For Anthem Utilization Management jobs in California, the most frequently searched job titles are:

What job categories do people searching Anthem Utilization Management jobs in California look for?

The top searched job categories for Anthem Utilization Management jobs in California are:

What cities in California are hiring for Anthem Utilization Management jobs?

Cities in California with the most Anthem Utilization Management job openings:

Anthem Utilization Management jobs near you
Infographic showing various Anthem Utilization Management job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $86,795 per year, or $41.7 per hour.

Case Manager

Fresno, CA • On-site

My Time Recovery
Offices of Mental Health Practitioners • 11 - 50 employees
Learn more about My Time Recoveryexternal

$21 - $27.25/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 26 days ago

Job description

Position Overview  

A case manager is responsible for coordinating and facilitating services for individuals or groups facing various challenges or needs.  


Job Duties:  

  • Provide and delivers group and individual counseling services daily, case management services, education, and community outreach services 
  • Lead groups and/or assist with counseling groups as directed by supervisor 
  • Provide intake and program orientation for the client and family members 
  • Provide individual assistance in accessing a variety of public services or resources 
  • Participate in multidisciplinary treatment planning and meetings 
  • Document Clinical duties and observations directed by the supervisor 
  • Completes all documentation by set deadlines for client care and compliance 
  • Complete Utilization Reviews as directed by supervisor 
  • Drives clients as needed to appointments or outings  
  • Assistance with any emergencies that may arise by following company policy 
  • Serve as a role model for clients  
  • Cleans as needed  
  • Coordinates with others to provide highest level of care  
  • Attends staff meetings   
  • Attends management meetings as requested  
  • Other duties as assigned  

Note: In all duties, all employees are to maintain resident Electronic Health Records (EHR) documents in the resident file per the APA ethical codes, organization policies, state and federal regulations, and The Joint Commission standards.  

Competencies and Abilities   

  • Able to provide quality counseling care in a dual diagnosis program   
  • Able to build rapport with clients, families, and community referents   
  • Able to do data entry   
  • Able to obey HIPAA   
  • Abide by ethical codes of the APA and CCAPP  

Qualifications  

  • Case Managers must be licensed or certified in marriage and family therapy and/or drug and alcohol addiction counseling. Interns and Radt’s will be considered. 
  • Current CPR and First Aid Certification on file 
  • Current TB skin test and health screen report  

Knowledge  

  • Twelve Step Recovery Program  
  • Social Model detox   
  • Data Entry  
  • Signs and symptoms of alcohol and other drug intoxication and withdrawal.  

Skills  

  • Good listener and building rapport.  
  • Good with data entry  


Full Time Benefit Package 

Health Insurance: Company will cover base plan Anthem BC PPO Silver for eligible employees at 90% and 

dependents at 20% with the option to purchase up to Gold or Platinum. 

Anthem Blue Cross Anthem PPO Silver 45/40 1,750 Ded  

Anthem Blue Cross Anthem PPO Gold 30/20 500 Ded 

Anthem Blue Cross Anthem PPO Platinum 15/10 250 Ded 

Dental Insurance: Company will cover 80% of eligible employee’s premium and 20% dependents.  

Anthem Dental Essential Choice PPO Platinum PPO 100/90/60 Active 50/2500 90th Basic CH Ortho  

Vision Insurance: Company will cover 80% of eligible employee’s premium.  

Anthem Blue View Vision FS.A.10.25.150.150  

401K Retirement Plan: Employees can participate after 1 year of employment working at least 1000 hours. Must be 21 years old to participate. Employer will determine matching for all plans at year end.