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Anthem, Inc. Social Work Case Manager -Remote-PS37086 in Pewaukee, Wisconsin

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

You will be given the training and equipment to work from a home office. You must have a high speed internet connection.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.

Qualifications

The hours for this position are a 40 hour work week Monday through Friday between 8:00am – 6:00pm EST. A set schedule will be determined. Must be flexible to work occasional weekends, evening hours and holidays based on business needs.

  • Requires an MS in Social Work; a minimum of 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.

  • 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 antheminc.com/careers. REQNUMBER: PS37086

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