Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Outreach Care Specialist in Colorado Springs, Colorado

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 care companies and a Fortune Top 50 Company.

LOCATION: This is a field-based position that will service our members in Colorado, with up to 50% of local travel within an assigned territory. When you are not in the field, you will work remotely from home. Occasional office visits for meetings and/or training are required. HOURS: 8:00 am – 5:00 pm, Monday through Friday.

  • Responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

  • Primary duties may include, but are not limited to: Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.

  • Assesses member compliance with medical treatment plans via telephone or through on-site visits.

  • Identifies barriers to plan compliance and coordinates resolutions.

  • Identifies opportunities that impact quality goals and recommends process improvements.

  • Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.

  • Coordinates identification of and referral to local, state or federally funded programs.

  • Coaches members on ways to reduce health risks.

  • Prepares reports to document case and compliance updates.

  • Establishes and maintains relationships with agencies identified in appropriate contract.

Qualifications

Minimum Requirments:

  • High school diploma or equivilant and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.

  • 1 year of related experience is required, the related experience should include experience in health services, behavioral health, peer support services, or lived experience which would prepare you to assist members in their recovery journey. • This position requires local travel. You must be comfortable visiting members in their homes or in a care facility. • You must have the ability to travel up to 50% in the assigned local territory. • Knowledge of care coordination and case management concepts is preferred. • Peer Support Specialist Certification, Certified Medical Assistant, or Certified Nursing Assistant is preferred. • Bilingual language skills preferred (English-Spanish or other). • You must reside within a commutable distance to an Anthem office. • Experience working with multiple computer systems, along with web-based applications, is required.

Preferred Qualifications:

  • Certified nurse assistant or certified medical assistant

  • BS/BA degree in a related field preferred.

  • Bilingual candidates preferred.

  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

    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.

    Applicable to Colorado Applicants Only

    Hourly Pay Range*: $18/hr - $22.50/hr (Min – MRP)

    Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    • The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. 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. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS65624-Colorado

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