Telecommute – GA, CT, VA, NH, NY, NJ, ME
Social Work Case Manager Sr.
GA, VA, NJ, NY, CT, NH or ME Remote
Georgia, United States; Connecticut, United States; Virginia, United States; New Hampshire, United States; New York, United States; New Jersey, United States; Maine, United States
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 drivethe future of healthcare.
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.
Location: This is a remote position covering our East Region which consists of GA, VA, NJ, NY, CT, NH and ME. Licensure in one of these states is required, along with a willingness to obtain licensure in other states. Residency in one of these states is strongly preferred.
Responsible for performing social work case management services by making integrative psychosocial assessments, developing, implementing, coordinating, monitoring, and evaluating social work goals designed to optimize members access to social services across the care continuum and ensuring member access to services appropriate to their psychosocial needs.
Primary duties may include, but are not limited to:
Conducts psychosocial assessments to identify individual needs and specific social services/psychiatric needs to address objectives and goals as identified during assessment.
Implements social work goals by advocating for members needs.
Networks with other community resources.
It provides referrals within the benefits structure.
Develops and implements a metric system that tracks baseline levels of functioning throughout the course of social work services by constructing necessary instruments that focus on identified psychosocial needs.
Coordinates specific psychosocial resources to meet members identified needs.
Monitors and evaluates the effectiveness of social work goals.
Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the member’s responsiveness to resources rendered.
Evaluates members’ ability to independently manage self and locate alternative resources when limitations are identified.
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, develop 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.
Participates in social work case audit activities and assists supervisors with the management of day-to-day activities, such as monitoring and prioritizing social work task-list workflow.
Serves as first-line contact for conflict resolution.
Develops a medical social work module of training for staff social workers.
Develops training materials, completes quality audits, performs process evaluations, and tests and monitors systems/process enhancements.
Serves as a team lead, manages the most complex cases, assists in policy and procedure development, and leads projects with cross-fun…
Social Work , Human Services , Medical & Health , Case Management
GA, CT, VA, NH, NY, NJ, ME