Field RN Care Manager

Company Description

Anthem, Inc. is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.

One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
We offer a broad range of medical and specialty products.

Job Description

RN are responsible for conducting (hands-off/in-field (reimbursement rate for mileage = .535/mile)) assessments for a state mandated tool. Assessments will take approximately 2.5-3 hours per assessment. Will complete approximately 2 cases per day (10/week).

Assessment is to evaluate ADL (activities of daily living) needs and determine if member meets requirements for nursing facility care. Assessments will be conducted in member’s homes, nursing facilities, and medical day care facilities.

Will travel primarily in certain counties but should be open and willing to travel throughout NJ, as needed. Assessments are conducted in the field but follow-up work can be done remotely from home.

RN’s will be given an iPad to complete assessments.

Here are the counties that are needing coverage as well as the number of expected hires per county:

• Passaic
• Hudson
• Bergen 
• Essex 
• Middlesex
• Union 

Responsible for overall management of member’s case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member’s case in accordance with applicable state law and contract; develops, 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.

Qualifications

Minimum Education/Licensures/Qualifications:

• Must have clear and active RN license in the state of NJ
• At least 1 year of home health experience
• 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management or similar role (or any combination of EDU/experience)
• Comfortable with travel – must have reliable transportation (must be comfortable traveling outside of assigned county if necessary)

Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm