Anthem Inc. Veterans Jobs

Job Information

Anthem, Inc. Outreach Care Specialist in Hialeah Gardens, Florida

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem Inc., 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 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.

The Outreach Care Specialist I is responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

LOCATION: This position will be a work@home position that will involve field visits to members home/hospital/etc. Position will involve travel 60-80% of the week. Must reside in the Florida panhandle-Escambia/Santa Rosa/Walton Counties preferred.

RESPONSIBILITIES:

Responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

Primary duties may include, but are not limited to:

*Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.

*Assesses member compliance with medical treatment plans via telephone *Identifies barriers to plan compliance and

coordinates resolutions.

*Identifies opportunities that impact quality goals and recommends process improvements.

  • Recommends treatment plan modifications and determines need for additional services, in conjunction with case

management and provider.

*Coordinates identification of and referral to local, state or federally funded programs.

*Coaches members on ways to reduce health risks.

*Prepares reports to document case and compliance updates.

*Establishes and maintains relationships with agencies identified in appropriate contract.

Qualifications

QUALIFICATIONS:

*Requires a high school diploma; 1 year of related experience; or any combination of education and experience, which would provide an equivalent background. *Certified nurse assistant or certified medical assistant and/or BS/BA degree in

a related field preferred.

*Bilingual candidates a plus.

*Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

*Strong computer skills required.

*Understanding of medical terminology preferred

An Equal Opportunity Employer/Disability/Veteran

REQNUMBER: PS40618

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