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Social Work Case Manager -Santa Clara County, CA

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Medical
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PS25693 Requisition #
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.

What Is CareMore?

CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk.  We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.  We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve nearly 200,000 patients in multiple states across Medicare, Medicaid, and commercial populations.  We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience.  As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.


Social Work Case Manager -Santa Clara County, CA

 


  • 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 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. 
Qualifications:

  • Requires an MS (at a minimum) 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. 
  • 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.

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