What are the responsibilities and job description for the Case Manager - LCSW position at Anthem?
LTSS Service Coordinator-Clinician (Case Manager - LCSW)
$1,000 Sign On Bonus
Location: North Carolina; will be required to travel up to 60% of the time to Rockingham, Randolph, Gulford, Davidson, Montgomery, Moore and Lee counties.
Schedule: Monday-Friday 8:30am-5pm EST
With overall responsibility for the member's case, as required by applicable state law and contract, the LTS Service Coordinator-Clinician contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, conducting with 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.
How you will make an impact:
Identifies members for high risk complications.
Obtains clinical data.
Identifies members that would benefit from an alternative level of care or other waiver programs.
Verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities, and in conjunction with the 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.
Minimum Requirements:
Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field
Minimum of 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 LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.
Preferred Skills, Capabilities and Experiences:
LCSW strongly preferred.
Case management or home health experience preferred.
Proficiency in Microsoft Office Suite products preferred (Outlook, Word, Excel).
MA/MS in Health preferred.
Travels to worksite and other locations up to 60% of the time.
Valid driver's license strongly preferred.
