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Social Work Case Manager Sr, CareMore Memphis # PS4083 in Memphis, TN at Anthem, Inc.

Date Posted: 4/10/2018

Job Snapshot

Job Description

Your Talent. Our Vision.  At CareMore,a proud member of the Anthem, Inc. family of companies specializing inproviding senior Americans a complete and pro-active health care experience, it’s apowerful combination.  It’s the foundationupon which we’re creating greater access to care for our members, greater valuefor our customers and greater health for our communities. Join us and togetherwe will drive the future of health care.

 

This is an exceptional opportunity to do innovative work thatmeans more to you and those we serve.  





The Social Work Case Manager, Sr is 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 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. Requires an MS (at a minimum) in Social Work; 5 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.
EOE.M/F/Disability/Veteran

Job Requirements

Requires an MS (at a minimum) in Social Work; 5 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. 

Behavioral Health Experience is preferred.

Bilingual (Spanish) or multi-language skills is plus

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