Anthem, Inc. Hiring for Special Programs Case Manager I at Maitland, Florida Full Time

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination. It’s 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. Special Programs Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care and Adoption Assistance . Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health.

Primary duties may include, but are not limited to:

• Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment.

• Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed.

• Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.

• Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning. Works closely with various state agencies.

• Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.

• Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function better at home, in the community, and throughout life.

• Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.

• Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

Qualifications

Requires:

• MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.

• Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Experience working with specialty populations preferred.

• Travel may be required.

  Prefers:

• Clinical experience in social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

  REQNUMBER: PS56755-US