Case Manager (Cerritos, CA) 100976

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Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it’s a powerful combination.  It’s the foundation upon which we’re creating greater 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.   Position Summary:  Responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member. Primary duties may include, but are not limited to: Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs. Supports member or their representative in regard to care, care transitions, and changes in health status. Implements a comprehensive clinical case management plan for each patient. Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed. Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances. Performs admission and concurrent stay reviews on hospitalized patients. Develops and implements discharge planning for patients in conjunction with hospital based case managers. Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care. When you join CareMore, we’ll give you every opportunity to make a real difference.   Be More with CareMore.