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LTSS Service Coordinator-Clinician (LCSW)

Location: Raleigh, NC
JobFamily: Medical
Req #: PS66919
Date Posted: May 4, 2022

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Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our VisionAt Healthy Blue, a strategic alliance of Blue Cross NC and Amerigroup, an Anthem Inc. company, 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 benefits companies and a Fortune Top 50 Company.

****$2500 sign on bonus****

This is a field based position and the territory for this position is Raleigh and Wilson, NC and surrounding areas.

The LTSS Services Coordinator-Cinician will have overall responsibility for the member's case, as required by applicable state law and contract. 

Responsibilities:

  • Leads the LTSS care coordination process by performing activities within the scope of licensure including, completing telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.
     
  • Identifies members for high risk complications, obtains clinical data, and identifies members that would benefit from an alternative level of care or other waiver programs.
     
  • Coordinate care for members with chronic illnesses, co-morbidities, and/or disabilities in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits. 
     
  • Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.
     
  • Identifies members for high risk complications.
     
  • Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.

Qualifications

Mininum Qualifications:

  • Requires an LCSW license in accordance with applicable state law.2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted LCSW in North Carolina (as allowed by state law) in applicable state(s) required.

Preferred Qualifications: 

  • Bilingual Spanish preferred.
  • Medicaid, managed care, long term care knowledge prerferred. 
  • Experience working with home and community based services preferred
  • Experience working in MS Office products preferred. (Outlook, Word, Excel, PowerPoint)
  • Field experience home health services etc 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.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

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.