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Anthem, Inc. Managed Care Coordinator in Lubbock, Texas

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, 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 healthcare.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to their fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Location: Arkansas, Fayetteville, 2) Fayetteville, 3) Little Rock, 4) Hot Springs, 5) Hope, 6) Ashdown, 7) West Memphis 8) Fordyce 9) Texarkana, 10) Warren

Hours: 8:00 am - 5:00 pm, Monday through Friday, with potential evening or weekend hours to meet the needs of our members.

Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member¿s program needs. Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member¿s cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The process does not involve clinical judgment. Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. Identifies members that would benefit from expanded services.

Qualifications

Requires a BA/BS in a health related field preferred; minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience, which would provide an equivalent background. Specific education and years and type of experience may be required based upon state law and contract requirements. Travel may be required. For MMP, requires Community Health Worker certification to be obtained within one year of employment.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.

REQNUMBER: PS43075

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