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CareMore Social Work Case Manager, Sr (LCSW Required) - Las Vegas, NV #139240 in Las Vegas, NV at Anthem, Inc.

Date Posted: 2/11/2018

Job Snapshot

Job Description

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.  

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 member's 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 a 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.
  • Provides referrals within benefits structure.
  • Develops and implements a metric system that tracks baseline levels of functioning throughout 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 effectiveness of the social work goals.
  • Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the members' 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, 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.
  • Participates in social work case audit activities and assists supervisor with 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-functional teams or serves as a representative on enterprise initiatives.

Job Requirements

  • Requires a Masters (at minimum) in Social Work
  • 3- 5 years of experience in case management in a health care environment; or combination of education and experience, which would provide an equivalent background
  • Current unrestricted LCSW or LMSW (or equivalent) license in applicable state.
 Spanish Speaking a big PLUS!

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 Diversity, Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.


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