Anthem Inc. Medical Jobs

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Anthem, Inc. Care Coordinator Lead in Miami Lakes, Florida

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.

CareMore is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.

Care Coordinator Lead

Hours: Monday-Friday, 8:30am - 5:00pm EST, some weekends required

Location: Temporarily Remote

  • Responsible for serving as a lead and coordinating the delivery of care for members.

  • Primary duties may include, but are not limited to:

  • Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources.

  • Participates in multi-disciplinary clinical review and planning meetings.

  • Monitors delivery of care across all markets.

  • Authorizes and coordinates services.

  • Assures compliance with workflows and processes.

  • Conducts audits as necessary.

  • May provide guidance to staff and manage workflows.

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.

Qualifications

  • Requires a high school diploma;

  • 3 years of experience in Case Management Care Coordination in an HMO environment; or

  • Any combination of education and experience, which would provide an equivalent background.

  • AA preferred.

  • Medical Assistant Certification preferred.

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.

REQNUMBER: PS44654

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