Anthem, Inc. Care Coordinator in Miami, Florida
SHIFT: Day Job
Your Talent. Our Vision. At Simply Healthcare, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. We are a Florida licensed health maintenance organization that serves individuals enrolled in Medicaid and/or Medicare programs. 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.
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 Care Coordinator is responsible for coordinating the delivery of care for members.
Primary duties may include, but are not limited to:
Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources.
Monitors delivery of care across all markets.
Maintains daily admissions and discharge records.
Expedites and coordinates appointments for assigned hospitalized patients.
Authorizes and coordinates services.
Keeps all providers involved with member's care updated on appointments, condition, and additional clinical support needed.
Requests and gathers necessary medical records.
Maintains accurate and complete documentation in Case Management database.
Requires a high school diploma or GED equivalent from an accredited institution and a minimum of 2 years of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience which would provide an equivalent background.
Bilingual in English/ Spanish is required.
Call center and/or customer service experience is a plus and preferred.
Healthcare 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.