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in Fairfax, VA

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Hours Full-time, Part-time
Location Fairfax, VA
Fairfax, Virginia

About this job

Description

LCSW, LPN Field Service Coordinator Clinician (Non-RN) Teleworker Northern & Winchester VA Region (Winchester, Alexandria, Arlington, Clarke, Culpeper, Fairfax, Falls Church) 130299

This is a field service coordinator position supporting our LTSS (Long Term Services and Support) members. You will be working from home or in the field (mileage reimbursed). There may be some overnight travel at the onset of the CCC+ program to support the rollout throughout the state. You must have the flexibility to come into the office for meetings as needed. Computer related equipment for a home office will be provided. You must have a high speed data connection.

#JoinAnthem

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.

The LTSS Field Service Coordinator Clinician (LCSW, LPN) will have 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:

* You will be responsible for telephonic and 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.

* You will assist responsible for identifying members for high risk complications by obtaining clinical data.

* You will identify members that would benefit from an alternative level of care or other waiver programs.

* You will verify and interpret collected information, conduct additional assessments, as necessary, and develop, monitor, evaluate, and revises the member's care plan to meet the member's needs.

* As the Licensed Clinical Social Worker or the Licensed Practical Nurse you participate in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities and in conjunction with 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.

Qualifications

* You must be a Licensed Practical Nurse or Licensed Clinical Social Worker.

* Your experience must include at least 3 years 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

* You must have a current, unrestricted LCSW or LPN license in the state of Virginia

* You must live in Virginia and be able to travel locally; this position requires a reliable vehicle, current auto insurance and clean driving record (mileage, tolls reimbursed)

* You must be competent in MS Office suite to include Word, Outlook and Excel, as well as a comfort level working with computers in general (i.e. Apple Products) in that you will be entering your assessments on an iPad and syncing the information with your laptop.

* Some overnight travel may be required.

Preferred qualifications include:

* Master's degree

* Knowledgeable of involuntary psychiatric admissions related to emergency custody orders and temporary detention orders

* Demonstrated ability to communicate with members who have complex medical needs and who may have communication barriers

* Current or prior field/home health experience preferred

* Knowledge of Medicaid, managed care and/or LTSS

Here is our process:

* There are multiple openings; the hire date is fall including paid training

* Anthem's Talent Acquisition team will be screening resumes, quickly and often

* An initial screening will occur via video or phone

* Live interview(s) will be conducted

* Once an offer is extended, a background verification process occurs to include education, criminal, professional license and professional career experience

Thank you for applying to Anthem! We have many openings in these territories so why not refer a friend? If you both are hired, you will receive a referral bonus! Get paid and work with friends!

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.