Anthem LTSS Service Coordinator Clinician Non-RN (LSW/LCSW) – Remote - Essex County, NJ - PS11437 in Somerset, New Jersey

LTSS Service Coordinator Clinician Non-RN (LSW/LCSW) – Remote - Essex County, NJ - PS11437

New

Location: New Jersey, United States

Field: Medical

Requisition #: PS11437

Post Date: 4 days ago

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.

LTSS Service Coordinator Clinician Non-RN (LSW/LCSW) – Remote - Essex County, NJ

The LTSS Service Coordinator Clinician Non-RN (LSW/LCSW) will work under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example:

  • Assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.

  • Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN.

  • Assists the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs.

  • Provides all information collected to the responsible RN, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.

  • Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.

  • Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.

Qualifications:

  • Requires a current unrestricted LSW or LCSW in the state of New Jersey; at least 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management or similar role; or any combination of education and experience, which would provide an equivalent background.

  • Long-term care experience highly desired.

  • Masters in Health/Nursing preferred.

  • May require state-specified certification based on state law and/or contract.

  • Travel required; could be up to 75% of the time.

  • Proficient computer skills (e.g. Excel, Word, iPad, iPhone, Outlook, etc.) preferred.

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.