Description
SHIFT: Day Job
SCHEDULE: Full-time
Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, its a powerful combination. Its the foundation upon which were 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.
Responsibilities:
Responsible for care coordination and/or care management activities focused on the Wellness and Recovery of Amerigroup members.
Primary duties may include but are not limited to: Identifies opportunities for engagement of members and their families in forming a supportive, recovery network.
Develops and implements provision of onsite psychiatric discharge planning education at Recovery and Resiliency sites.
Collaborates with Stabilization Teams as a member advocate in discharge planning education, resolution of barriers, and service transitions.
Acts as a resource for staff on decision making and problem solving. Initiates and maintains contact with assigned individuals and providers to determine members response to services.
Qualifications
Qualifications:
Requires an Associate degree.
Knowledge of care-coordination and case management concepts, or, any combination of education and experience, which would provide an equivalent background. BA/BS or MBA preferred. Peer Specialist Certification required.
Within the last three (3) years, have either maintained at least 12 months of successful work or earned at least 24 credit hours at a college or post-secondary education institution.
Candidates are required to have 75 hours of peer specialist training, in most states it is 40 hours of training.
2 years of experience in health services or in the behavioral health field or in a peer support services role.
Has lived the experience of mental health substance abuse or mental health history in which they received care.
Ability to understand and navigate the system and how to access care and ability to provide referrals.
Computer skills, electronic medical records, and now how to externally access systems to navigate.
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 Americas 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.
AnEqualOpportunityEmployer/Disability/Veteran
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.