Anthem Director, Case Management (West Markets) in Colorado Springs, Colorado
Director, Case Management (West Markets)
Location: Cerritos, California, United States
Requisition #: PS23441
Post Date: Jun 19, 2019
Dir CareMore Case Mgmt
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 integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve nearly200,000 patients in multiple states across Medicare, Medicaid, and 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 Health Networks, Primary Care+,Touch and CareMore@Home models drive strategy, operations, and care delivery in our national markets (Arizona, California, Colorado, Connecticut, Iowa, Nevada, New York, North Carolina, Tennessee, Texas, Virginia and the District of Columbia), where CareMore builds and runs capitated primary care medical groups, at-risk health networks and upstream care delivery products in service of high-risk Medicaid, Medicare and commercial patients, and ourcollaboration with Emory Health System in Georgia . Our comprehensive, upstream approach to health is led by robust multidisciplinary teams of extensivists (managing acute and post-acute episodes of care), primary care clinicians, behavioral health clinicians, care management & engagement specialists (including social workers, case managers and community health workers), and mobile home-based care teams. We continue to evolve our model to effectively engage and care for complex patients, led by a team of passionate, execution-minded leaders dedicated to this mission.
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Responsible for overseeing CareMore case management operations and expansions among multiple states.
Primary duties may include, but are not limited to:
Oversees and directs the quality of care for high risk patients.
Implements case management strategies and oversees daily operations.
Develops programmatic approaches to new and existing programs.
Oversees quality assurance.
Collaborates with neighborhood team, primary care physicians, specialists, and outside vendors; leverages all resources included in the clinical model.
Researches and develops new and innovative approaches to Case Management.
Supports and implements initiatives to support growth and strategic objectives.
Partners with Extensivists, Regional Medical Officers, and Senior Medical Officers to deliver high quality of life and care to frail patients.
Manages the annual budget.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires a BS in Nursing or related health care field; 8 years of experience including prior management experience in a health care environment (i.e. acute care); or any combination of education and experience, which would provide an equivalent background.
Anthem, Inc. is ranked as one of America’s Most Admired Companies amonghealth insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50Company for Diversity. To learn more about our company and apply, please visitus at careers.antheminc.com. An EqualOpportunity Employer/Disability/Veteran.
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