RN / Registered Nurse / North Carolina / Permanent / RN - LTSS Services Coordinator- $2,500 SOB Job
Company: Anthem
Location: Greensboro
Posted on: May 26, 2023
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Job Description:
Your Talent. Our Vision. At Healthy Blue, a strategic alliance
of Blue Cross NC and Amerigroup, an Anthem Inc. company, its a
powerful combination, and the foundation upon which were 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.APPLY AT $2,500 Sign On
Bonus Competitive pay Career path & development opportunities
Education reimbursement 401K match Health, dental, vision & life
insurance Employee discount program PTO and 8 paid holidays
Responsibilities:Provides direction to LPN clinicians participating
in the member's case in accordance with applicable state law and
contractDevelops, monitors, evaluates, and revises the member's
care plan to meet the member's needs, with the goal of optimizing
member health care across the care continuum.Responsible for
performing telephonic or face-to-face clinical 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.Identifies members for
high risk complications and coordinates care in conjunction with
the member and the health care team.Manages members with chronic
illnesses, co-morbidities, and/or disabilities, to insure cost
effective and efficient utilization of health benefits.Obtains a
thorough and accurate member history to develop an individual care
plan.Establishes short and long term goals in collaboration with
the member, caregivers, family, natural supports,
physicians.Identifies members that would benefit from an
alternative level of care or other waiver programs.The RN has
responsibility to develop the care plan for services for the member
and ensures the member's access to those services.May assist with
the implementation of member care plans by facilitating
authorizations/referrals for utilization of services, as
appropriate, within benefits structure or through extra-contractual
arrangements, as permissible.Interfaces with Medical Directors,
Physician Advisors and/or Inter-Disciplinary Teams on the
development of care management care plans.
Keywords: Anthem, Greensboro , RN / Registered Nurse / North Carolina / Permanent / RN - LTSS Services Coordinator- $2,500 SOB Job, Healthcare , Greensboro, North Carolina
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