Social Work Case Manager (PS19374)

Anthem, Inc. - United States3.8

Full-time
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 benefits companies and a Fortune Top 50 Company.

CareMore’s Primary Care & Collaboration division oversees strategy, operations, and care delivery in our high-risk primary care division (Connecticut, Des Moines, IA and Memphis, TN), where CareMore builds and runs capitated primary care medical groups and currently serves over 20,000 high-risk Medicaid patients in two states. The division also supports the development of new markets and models, including a home-based comprehensive care model launching in Connecticut. We are rapidly evolving our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission.

Responsibilities:
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:
Provides short term psychotherapy using evidence-based practices as indicated to improve overall health condition
Participates in outreach and engagement activities
Provides support and consultation to interdisciplinary team regarding impact of members’ psychosocial issues and SDOH on care and health outcomes
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 self 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, develops 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.
Location: Hartford County, CT

Qualifications:MS in Social Work; 3 - 5 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.Current unrestricted LMSW or LCSW (or equivalent) license in applicable state(s) required.Bilingual (Spanish) or multi-language skills preferred.Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com.AnEqualOpportunityEmployer/Disability/Veteran