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Social Worker/Social Work Case...


Job Summary

Groton, CT
Other/Not Classified
Job Type
Full Time
Career Level
Experienced (Non-Manager)
Job Reference Code

Social Worker/Social Work Case Manager (LCSW) CareMore Hartford, CT area # PS3323

About the Job


Social Worker - CareMore@Home (Connecticut)

What is CareMore?

CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead health plans and clinical teams to care for the most complex patients, serving over 100,000 patients in seven states across Medicare, Medicaid, and soon, commercial populations. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America's largest managed healthcare organizations.

CareMore's Primary Care & Collaboration division oversees strategy, operations, and care delivery in our high-risk primary care division (Des Moines, IA and Memphis, TN), where CareMore runs capitated primary care medical groups and serves over 20,000 high-risk Medicaid patients in two states. The division also supports the development of new markets and models, including a home-based comprehensive care model in Connecticut. We are rapidly evolving our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission.

You can learn more about CareMore's transformative approach to care here:

The Social Worker, CareMore@Home (Connecticut) wears multiple hats: case management, patient advocate, psychotherapist, and community outreach coordinator. Our Social Worker is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness, and effectively working with family caregivers.

Core Competencies:
  • A true patient-centered approach, that puts patients and caregivers at ease
  • A collaborative team member and effective communicator
  • Willingness to operate in an ambiguous environment, without continuous supervision
Essential Duties and Responsibilities
  • Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition.
  • Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.
  • Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities.
  • Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified via a Social Work Psychosocial evaluation.
  • Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs.
  • Evaluates members' strengths related to health self-management, develops strategies to support healthcare needs and implements plans in support of case decisions.
  • Facilitates and coordinates behavioral health resources as individual member needs are identified.
  • Assessment, coordination, care planning, implementation, monitoring and evaluation of multiple services to meet complex patient/family needs
  • Collaboration with community providers to maximize benefits of available services and prevent duplication of effort
  • Conducts assessments and interventions telephonically and/or in patient's home as appropriate to patient's situation and case complexity
  • Conducts outreach to assigned members to explain the CareMore model of care and engage members with services to improve their health outcomes
  • Discharge planning at the time of inpatient admission to ensure appropriate services are provided that is necessary to facilitate a safe discharge or placement in the appropriate lower level of care
  • Participates in Interdisciplinary Care Team meetings
  • Communicates with practitioners and members regarding Transitions of Care plans

Work location and travel expectations:

Based in Hartford, Connecticut area, local travel.
Minimum Qualifications:
  • Requires an MS (at a minimum) in Social Work;
  • 3 years of experience in social work case management in a health care environment; or any combination of education and experience, which would provide an equivalent background
  • Current unrestricted LCSW license in applicable state(s) preferred
  • Bilingual (Spanish) strongly 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.


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