CareMore Care Manager (Cerritos, CA) PS30226 at Anthem, Inc.

Posted in Management 20 days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Cerritos, California





Job Description:

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.

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.

Location: Cerritos, CA

The Care Manager 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.

  • Analyze patient variances from the plan and initiates the appropriate steps to resolve variances. 

  • Perform admission and concurrent stay reviews on hospitalized patients. 

  • Develop 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.

Qualifications:


  • Requires a current unrestricted LVN, LPN or RN license in the state of California. 

  • 2 years of related clinical experience; or any combination of education and experience, which would provide an equivalent background.

  • Case management experience preferred.

  • Experience with NexGen and Navigator Software is a plus.

  • Bilingual skills in Vietnamese or Chinese is desired.

  • For CareMore business units, satisfactory completion of a Tuberculosis test is a requirement for this position.

 

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.