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Description SHIFT: Day JobSCHEDULE: Full-timeYour 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 care companies and a Fortune Top 50 Company. Location: Remote Based - seeking candidates licensed in either of the states of California, Georgia or Virginia. The Social Work Case Manager, Sr is responsible for performing social work case management services by making integrative psychosocial assessments, developing, implementing, coordinating, monitoring, and evaluating social work goals designed to optimize members access to social services across the care continuum and ensuring member access to services appropriate to their psychosocial needs. Primary duties may include, but are not limited to: Conducts psychosocial assessments to identify individual needs and a specific social services/psychiatric needs to address objectives and goals as identified during assessment.
Implements social work goals by advocating for members’ needs.
Networks with other community resources. Provides referrals within benefits structure.
Develops and implements a metric system that tracks baseline levels of functioning throughout course of social work services by constructing necessary instruments that focus on identified psychosocial needs.
Coordinates specific psychosocial resources to meet members identified needs.
Monitors and evaluates effectiveness of the social work goals.
Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the members responsiveness to resources rendered.
Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified.
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.
Participates in social work case audit activities and assists supervisor with management of day-to-day activities, such as monitoring and prioritizing social work task-list workflow.
Serves as first line contact for conflict resolution.
Develops training materials, completes quality audits, performs process evaluations, and tests and monitors systems/process enhancements.
Serves as a team lead, manages the most complex cases, assists in policy and procedure development, and leads projects with cross-functional teams or serves as a representative on enterprise initiatives.
Qualifications Minimum Requirements: Requires MS (at a minimum) in Social Work and minimum of 5 years of experience in case management in a clinic or in a hospital setting; or any combination of education and experience, which would provide an equivalent background.
Current unrestricted LMSW or LCSW (or equivalent) license in applicable state(s) is required.
Preferred Qualifications:
Experience working with members with chronic conditions
Experience working with Medicare and Medicaid population.
Bilingual (Spanish) or multi-language skills preferred.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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: PS58693-Virginia
Vacancy expired!