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Nurse Case Manager I Medicaid (OB experience) - PS28756Location: United StatesNewRequisition #: PS28756Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation
upon which we’re creating greater 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.The Nurse CaseManager I is responsible for performing care management within the
scope of licensure for Tennessee Medicaid OB members with complex and
chronic care needs by assessing, developing, implementing, coordinating,
monitoring, and evaluating care plans designed to optimize member health care
across the care continuum. Performs duties telephonically and on-site such as
at hospitals for discharge planning. Primary duties may include, but are not
limited to:
Ensures member access to servicesappropriate to their health needs.
Conducts assessments toidentify individual needs and a specific care management plan to addressobjectives and goals as identified during assessment.
Conducts face-to-face visits with members (field based)
Coordinates internal andexternal resources to meet identified needs.
Monitors and evaluateseffectiveness of the care management plan and modifies as necessary.
Interfaces with MedicalDirectors and Physician Advisors on the development of care managementtreatment plans.
Performs High Risk OB assessments to determine level of care needed.
Requires:
BA/BS in a health related field;3 years of clinical experience; or any combination of education andexperience, which would provide an equivalent background.
Current, unrestricted RNlicense in the state of Tennessee required.
Certification as a Case Manageris preferred.
50 - 75% travel required for face-to-face visits with members.
Experience in OB required.
Please note: this position must be located within 2 hours of driving distance to Knoxville, TNAnthem, Inc. is rankedas one of America’s Most Admired Companies among health insurers by Fortunemagazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. Tolearn more about our company and apply, please visit us atantheminc.com/careers. EOE. M/F/Disability/Veteran.
Vacancy expired!