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Nurse Case Manager I - Physical Health (PS30440)Location: United StatesNewRequisition #: PS30440Your Talent. Our Vision . At Anthem, Inc ., it’s a powerful
combination, and the foundation upon which we’re 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 healthcare .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.This Nurse CaseManager I for Physical Health Adults Case Management is responsible
for performing care management within the scope of licensure for Tennessee
Medicaid Physical Health Adults 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 and conducts face to face visits with our
members at their homes and/or facilities. Primary duties may include, but are not
limited to: Ensures
member access to services appropriate to their health needs. Conducts
assessments to identify individual needs and a specific care management plan to
address objectives and goals as identified during assessment. Coordinates
internal and external resources to meet identified needs. 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. Assists
in problem solving for our members.
BA/BS in a health related field; 3 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 Tennessee required.
Certification as a Case Manager is preferred.
50 - 75% travel required for face-to-face visits with members.
Must have work experience in Physical Health Adults
Previous face to face in-home visits experience preferred.Please note: this
position must be located within 2 hours of driving distance to Knoxville, TNAnthem, Inc. is rankedas one of America’s Most Admired Companies among health insurers by Fortunemagazine and is a 2018 Diversity Inc magazine Top 50 Company for Diversity. Tolearn more about our company and apply, please visit us atcareers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.