Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Nurse Care Mgr I in Pembroke Pines, Florida

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 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 benefits companies and a Fortune Top 50 Company.

This position is remote.

Operating hours: Monday - Friday 7 a.m. - 7 p.m. CST.

Responsible for telephone and electronic outreach to specific members who may benefit from a more coordinated approach to managing back pain.

Primary duties may include but are not limited to:

  • Serves as a resource to lower-level medical call nurses and physical therapists.

  • Establishes and maintains supportive relationships with members.

  • Performs professional assessment of member’s back pain with accurate and concise documentation.

  • Collects and integrates information in the digital platform.

  • Utilizes established software, written materials, on-line resources and nursing or PT background to provide members with appropriate medical information.

  • Collaborates frequently with multi-specialty team, including external vendors, to assess care management and make recommendations and referrals.

  • Communicates care decisions to patients when needed.

  • Responds to member’s care-related questions via phone or email.

  • May be asked to develop training materials and implement care protocols

Qualifications

Nurse Care Manager I

  • Requires 3 years of case management experience; or any combination of education and experience, which would provide an equivalent background.

  • Current, unrestricted RN license in applicable state(s) required.

  • Multi-state licensure is required if this individual is providing services in multiple states.

  • Home health/discharge planning experience preferred.

  • AS/BS in nursing preferred.

  • Certification as a Case Manager is preferred.

Internet speed requirements: Minimum download speed of 20 megabytes per second/uploads speed of 5 megabytes per second is required.

PT experience a plus.

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.

REQNUMBER: PS52098-Florida

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