Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Outreach Care Specialist in Fort Worth, Texas

Description

SHIFT: Day Job

SCHEDULE: Full-time

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.

Responsibilities

The Outreach Care Specialist is 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 assisting with community resources

  • Assesses member compliance with 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

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.

Qualifications

Requirements:

  • BS/BA degree in a related field (psychology, social work, human services, etc.)

  • Bilingual candidates preferred

  • For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

  • Be within 40 miles of office location is preferred

    REQNUMBER: PS54168

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