Anthem In. Case Management Jobs

Job Information

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

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, 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.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the flexibility to return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities.

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.

Responsibilities:

  • 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

Qualifications:

  • Requires a BS/BA degree in Behavior Health, Social Work or Psychology from an accredited Institution.

  • 1 year of related experience; or any combination of education and experience, which would provide an equivalent background.

  • 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.

  • Ability to work from home with internet access and a quiet and private workspace.

  • Ability to work any 8-hour shift between the hours of 8 am - 5pm CST.

    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. 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.

REQNUMBER: PS44937

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