Anthem, Inc. Social Work Case Manager - Medicare in Long Island, New York
SHIFT: Day Job
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 remote from home opportunity in the NYC metro area, including Long Island. Local travel is required visiting members in their homes or in a care facility.
HOURS: General business hours, Monday through Friday.
Responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness.
Primary duties may include, but are not limited to:
Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition.
Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.
Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities.
Evaluates members' ability to independently manage themselves and locate alternative resources when limitations are identified via a Social Work Psychosocial evaluation.
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, develop 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.
Requires an MS in Social Work; 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.
Requires current, unrestricted, active LMSW or LCSW (or equivalent) license from the state of New York.
Local travel is required visiting facilities within an assigned service area (mileage/tolls reimbursed).
Bilingual (Spanish) or multi-language skills preferred.
Medicaid and/or Medicare experience is preferred.
Managed Care experience is 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.