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CareMore Care Manager - Las Vegas, NV - #PS14011

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Medical
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PS14011 Requisition #
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Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, 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.

 

This is an exceptional opportunity to do innovative work that means more to you and those we serve. 

 

 

 

Location:  Las Vegas, NV

 

 

 

CareMore Care Manager

 

 

 

Responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member. Primary duties may include, but are not limited to:

  • Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.
  • Supports member or their representative in regard to care, care transitions, and changes in health status.
  • Implements a comprehensive clinical case management plan for each patient.
  • Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed.
  • Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances.
  • Performs admission and concurrent stay reviews on hospitalized patients.
  • Develops and implements discharge planning for patients in conjunction with hospital based case managers.
  • Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care.

Requires a LVN, LPN or RN; 2 years of experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted LVN, LPN, or RN license in the State of Nevada required. For CareMore business units, satisfactory completion of a pre-placement Tuberculosis test is a requirement for this position. Experience in Case Management, Discharge Planning, Coordination of Care Coordination, Acute Care, Skilled Nursing and High Risk management experience preferred.  Bilingual English/Spanish 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. An Equal Opportunity Employer/Disability/Veteran.

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The Health Care Analytics (HCA) team focuses on transforming the way data is used within the health care industry. They provide strategic analysis that impacts business decisions, improves efficiency and drives innovation.

As we expand our technology and analytics capabilities, we are searching for associates that have a passion for analytics and the drive to pave the way in a growing industry.

Career opportunities are available in the following areas:

  • Strategy and planning: Ensures strategic alignment between HCA projects and the organization's broader goals. Also integrates analytics strategy into the execution process, including program management, project controls, communications and vendor oversight.
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  • Financial management analytics: Works closely with HCA leaders and other Anthem management to provide support to the finance and accounting teams through financial reporting systems.
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