Anthem Social Work Case Manager REMOTE (All Anthem locations)- PS11650 in Visalia, California

Social Work Case Manager REMOTE (All Anthem locations)- PS11650

New

Location: United States

Field: Medical

Requisition #: PS11650

Post Date: 2 days ago

Your Talent. Our Vision. At 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 benefits companies and a Fortune Top 50 Company.

As a Social Work Case Manager , this role is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness.

Primary duties may include, but are not limited to:

  • Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition.

  • Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.

  • Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities.

  • Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified via a Social Work Psychosocial evaluation.

  • Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs.

  • Evaluates members' strengths related to health self-management, develops strategies to support healthcare needs and implements plans in support of case decisions.

  • Facilitates and coordinates behavioral health resources as individual member needs are identified.

The hours for this position are Monday through Friday between 8:00am – 8:00pm EST. Must be flexible to work weekends (Saturday and Sunday), evening hours and holidays based on business needs.

  • Requires an MS (at a minimum) in Social Work; 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.

  • Current unrestricted LCSW license is required.

  • Bilingual (Spanish) or multi-language skills preferred.

  • Must have strong oral, written and interpersonal communication skills, PC skills to include word processing, spreadsheet, and database applications, organizational and problem-solving skills, and decision-making skills.

  • Must have strong negotiation skills and ability to handle complex issues.

  • May be required to work some corporate paid holidays and/or weekends.

  • Knowledge and background in Medicare Advantage helpful.

  • Employer Retiree Group account experience helpful.

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 careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.