Anthem LTSS Service Coordinator Non-RN | Madison, Greene, Louisa Counties Virginia PS5953 in Roanoke, Virginia

LTSS Service Coordinator Non-RN | Madison, Greene, Louisa Counties Virginia PS5953

Location: Virginia, United States

Field: Medical

Requisition #: PS5953

Post Date: May 08, 2018

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 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. Together we can drive the future of health care.

This is a field position supporting our LTSS (Long Term Services and Support) for Madison, Greene, and Madison counties in Virginia . You will be working from home or in the field (mileage reimbursed) meeting with members where they live. Related computer equipment for a home office will be provided. You must have a high speed data connection.

Working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example:

  • Assists the responsible RN 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.

  • Assists responsible RN in identifying members for high risk complications.

  • Obtains clinical data as directed by the responsible RN.

  • Assists the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs.

  • Provides all information collected to the responsible RN, who 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 as directed by responsible RN, and 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.

  • Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law; Nursing Diploma or AS in Nursing or a related field; 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 in Virginia is required.

  • Travel required within territory.

  • Pediatric experience is a plus.

  • Tech waiver experience is a plus.

  • Home health or long term care experience is preferred.

  • Strong computer skills preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

EOE.M/F/Disability/Veteran