Anthem CareMore Care Manager (LVN or RN requred/Bilingual Spanish required)- East Los Angeles, CA #PS13093 in Columbia, Missouri
CareMore Care Manager (LVN or RN requred/Bilingual Spanish required)- East Los Angeles, CA #PS13093
Location: United States
Requisition #: PS13093
Post Date: Nov 07, 2018
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 ofhealth care.
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 Medicare, Medicaid, and commercial populations across the country. 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
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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:
Collaboratesin a patient care process to assess, plan, facilitate, coordinate,monitor, and evaluate options and services to meet member's health needs.
Supportsmember or their representative in regard to care, care transitions, andchanges in health status.
Implementsa comprehensive clinical case management plan for each patient.
Obtainsinput from providers, patient, and family as appropriate, and evaluatesand revises the plan as needed.
Analyzes patientvariances from the plan and initiates the appropriate steps to resolvevariances.
Performsadmission and concurrent stay reviews on hospitalized patients.
Developsand implements discharge planning for patients in conjunction withhospital based case managers.
Performstelephonic, fax and/or on-site reviews with skilled nursing facilities,home health agencies or other contracted service agencies to determineneed for continued care.
Requires aLVN, LPN or RN; 2 years of experience; or any combination of education andexperience, which would provide an equivalent background.
Currentunrestricted LVN, LPN, or RN license in applicable state(s)required.
Spanish Bilingual Required
Must have reliable means of transportation to do occasional field visits to CareMore patients admitted to local hospital and/or SNF or similar facility.
2 years of Case Management, discharge planning or acute hospital floor experience highly preferred.
Anthem, Inc. is ranked as one ofAmerica’s Most Admired Companies among health insurers by Fortune magazine andis a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn moreabout our company and apply, please visit us at careers.antheminc.com. An EqualOpportunity Employer/Disability/Veteran.