Anthem Care Coordinator - Washington D.C. (PS1945) in Hingham, Massachusetts

/ 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 access to care for our members, greater value for our customers and greater health for our communities. Join us and togetherwe 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.

Caremore Care Coordinator - Washington D.C

The Care Coordinator, CareMore Primary Care is responsible for assisting case managers to coordinate the clinical care for the Medicaid and/or Medicare population across the continuum of care. The Care Coordinator will be engaged directly with members and will support Care Managers in, developing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to servicesappropriate to their health needs. He/She will report to the Case Manager.

Essential Duties and Responsibilities

● Implements, coordinates, monitors, and evaluates options and services to meet patient’s health needs andensures appropriate use of clinical resources ● Maintains daily admissions and discharge records for hospitalized patients (medical and behavioral health) ● Expedites and coordinates appointments for assigned hospitalized patients ● Receives incoming patient calls for the case management department and appropriately facilitates calls ● Collects relevant clinical information and submits authorizations with payer partners ● Coordinates care and follow-ups with patients to ensure they receive needed services ● Keeps providers involved with patient’s care updated on appointments, condition, and additional clinical support needed by leveraging EMR communication, interdisciplinary team meetings and face-to-face communication ● Maintains accurate and complete documentation in the EMR ● Responsible, under the direction of the Care Manager, to view and document higher level of Medicaidqualifications, submit appropriate qualifications to state and track completeness

  • Requires a high school diploma

  • Experience in Care Management in a care delivery setting; or any combination of education and experience,which would provide an equivalent background

  • Strong knowledge of medical vocabulary required

  • This position requires strong communication skills

  • Proficient with computers and common programs

  • Can work in the office everyday

  • Medical Assistant training or knowledge is a 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. /

Job Medical

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Care Coordinator - Washington D.C. (PS1945)

Location: massachusetts-Hingham

Other Locations: DC-Washington

Requisition ID: PS1945