Anthem, Inc.

Social Worker

Posted on: 18 Jan 2021

Toledo, OH

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were creating greater 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 benefits companies and a Fortune Top 50 Company.

Social Worker

Locations: W@H; Must reside in Northern OH or MO

Hours: 8:30 am-5:00 pm EST

RESPONSIBILITIES:

Responsible for identifying and linking members with social and community resources, ensuring psychosocial assessment and related care coordination while supporting members ability to manage his/her chronic illness.

Primary duties may include, but are not limited to:

* Provides member education and outreach as appropriate on plan specific benefits and how to use them.
* Utilizes knowledge of available community, government, and/or client resources needed to address members limitations and support interventions in the management of the members chronic condition or special needs.
* Assesses short-term and long-term needs.
* Assists in the establishment of case management goals, correctly prioritizes goals, and executes plan to achieve goals.
* Have a thorough understanding of members needs when accessing Federal, State, or local assistance or in understanding any governmental assistance available to members as applicable.
* Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities.
* Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs.
* Facilitates and coordinates behavioral health resources as individual member needs are identified.
* Establishes a relationship with member, family, physician(s), and other providers to determine use of benefits and community resources.
* Acts as liaison and member advocate between the member/family, physician and facilities/agencies.
* Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified via standardized Social Work Psychosocial evaluation methods, processes and tools while maintaining accurate record of activities. Requires a BS or MS in Social Work. 3 years of experience in case management and 1 year of experience working with aged or disabled populations; or any combination of education and experience, which would provide an equivalent background. MS in Social Work (MSW) preferred.

AnEqualOpportunityEmployer/Disability/Veteran

Qualifications

QUALIFICATIONS:

* Requires a MS in Social Work. 3 years of experience in case management and 1 year of experience working with aged or disabled populations; or any combination of education and experience, which would provide an equivalent background. MS in Social Work (MSW) required.
* Hospital D/C planning preferred.
* Manager Care Experience preferred
* Community Resource management experience
* Knowledge of community resources in OH/MO
* Must have active, unrestricted license in state of residence

AnEqualOpportunityEmployer/Disability/Veteran

Anthem, Inc.

Indianapolis, IN

Anthem, Inc., through its subsidiaries, operates as a health benefits company in the United States. It operates through three segments: Commercial & Specialty Business, Government Business, and Other. The company offers a spectrum of network-based managed care health benefit plans to large and small group, individual, Medicaid, and Medicare markets. Its managed care plans include preferred provider organizations; health maintenance organizations; point-of-service plans; traditional indemnity plans and other hybrid plans, such as consumer-driven health plans; and hospital only and limited benefit products.

The company also provides a range of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs, and other administrative services. In addition, it offers an array of specialty and other insurance products and services, such as dental, vision, life and disability insurance benefits, radiology benefit management, and analytics-driven personal health care guidance; and Medicare administrative services.

Further, the company provides services to the federal government in connection with the Federal Employee Program; and operates as a licensee of the Blue Cross and Blue Shield Association. As of December 31, 2018, it served 40 million medical members through its affiliated health plans. The company was formerly known as WellPoint, Inc. and changed its name to Anthem, Inc. in December 2014. Anthem, Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.

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