Nurse Case Manager Sr.
Company: Anthem, Inc.
Location: Los Angeles
Posted on: April 10, 2021
Welcome to the Anthem Careers site! We have been hard at work to
improve our job search and application systems to better serve you.
It is now easier to find and apply for relevant jobs as well as
stay connected with Anthem. Here are a few of the updates you may
notice: Welcome to the Anthem Careers site! We have been hard at
work to improve our job search and application systems to better
serve you. It is now easier to find and apply for relevant jobs as
well as stay connected with Anthem. Here are a few of the updates
you may notice:
- No more profiles! We no longer require you to create a log in
and password to apply for a job and you won't be able to access
previously created profiles, but don't worry - we still have your
previous application(s) on file and you can still track your status
by clicking on the "Track Your Job Application Status" button.
- Job Alerts - If you had previously registered to receive job
alerts and wish to continue to receive these notifications, please
re-register by clicking the "job alert" button.
- NEW! Didn't find a job that is right for you? Join a Talent
Network to stay informed on news and job opportunities with the
Anthem Team! It is important that you apply using an email address
which is unique to you and not shared with a friend, relative,
spouse, or significant other. Our recruiting system uses your email
address as your unique identifier. If you apply with a shared email
address, your application will overwrite any previous applicant
record with the same email address. Additionally, please ensure
that you use a valid email address, free from typos, as there are a
variety of communications which may be sent to the email address
with which you apply 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 drive the future of health care. 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 care
companies and a Fortune Top 50 Company. Location: Remote; anywhere
in the US, must reside--within 60 miles of an Anthem office.--
Responsible for care management within the scope of licensure for
members with complex and chronic care needs by assessing,
developing, implementing, coordinating, monitoring, and evaluating
care plans designed to optimize member health care across the care
continuum. Performs duties telephonically or on-site such as at
hospitals for discharge planning. Primary duties may include, but
are not limited to:
- Ensures member access to services appropriate to their health
- Conducts assessments to identify individual needs and a
specific care management plan to address objectives and goals as
identified during assessment.
- Implements care plan by facilitating authorizations/referrals
as appropriate within benefits structure or through
- Coordinates internal and external resources to meet identified
- Monitors and evaluates effectiveness of the care management
plan and modifies as necessary.
- Interfaces with Medical Directors and Physician Advisors on the
development of care management treatment plans.
- Negotiates rates of reimbursement, as applicable.
- Assists in problem solving with providers, claims or service
- Assists with development of utilization/care management
policies and procedures, chairs and schedules meetings, as well as
presents cases for discussion at Grand Rounds/Care Conferences and
participates in interdepartmental and/or cross brand
- May require the development of a focused skill set including
comprehensive knowledge of specific disease process or traumatic
injury and functions as preceptor for new care management staff.
- Requires a BA/BS in a health related field; 5 years of clinical
experience; or any combination of education and experience, which
would provide an equivalent background.
- Current, unrestricted RN license in the state of
- Multi-state licensure is strongly preferred.--
- Certification as a Case Manager is preferred.
We offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short and long term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few.
Anthem, Inc. is ranked as one of America's Most Admired Companies
among health insurers by Fortune magazine and has been named a 2019
Best Employers for Diversity by Forbes. To learn more about our
company and apply, please visit us at careers.antheminc.com. An
Equal Opportunity Employer/Disability/Veteran. Anthem promotes the
delivery of services in a culturally competent manner and considers
cultural competency when evaluating applicants for all Anthem
positions. Please be advised that Anthem only accepts resumes from
agencies that have a signed agreement with Anthem. Accordingly,
Anthem is not obligated to pay referral fees to any agency that is
not a party to an agreement with Anthem. Thus, any unsolicited
resumes, including those submitted to hiring managers, are deemed
to be the property of Anthem. EEO is the Law Please use the links
below to review statements of protection from discrimination under
Federal law for job applicants and employees. Anthem, Inc. is
committed to helping individuals with disabilities participate in
the workforce and ensuring equal opportunity to apply and compete
for jobs. If you are an individual with a disability and require a
reasonable accommodation to complete the application process,
please email Human Resources at firstname.lastname@example.org for further
assistance. *WARNING : Please beware of phishing scams that solicit
interviews or promote work-at-home opportunities, some of which may
pose as legitimate companies. Please be advised that Anthem will
never ask you for a credit card, send you a check, or ask you for
any type of payment as part of consideration for employment with
our company. If you feel that you have been the victim of a scam
such as this, please report the incident to the Federal Trade
Commission here by selecting the 'Rip-offs and Imposter Scams'
option. Anthem requires a completed online application for
consideration of employment for any position.
Keywords: Anthem, Inc., Los Angeles , Nurse Case Manager Sr., Healthcare , Los Angeles, California
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