Anthem, Inc. Clinical Special Programs Intern - Summer 2022 in Midland, Georgia
SHIFT: Day Job
THIS IS A WORK FROM HOME OPPORTUNITY - MUST BE BASED IN GEORGIA
GBD Special Programs Intern:
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.
The GBD Special Programs Intern will be responsible for…
Primary responsibilities include supporting:
Working under the direction/supervision of a licensed clinician, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the care coordination process by performing activities within the scope of degree including, for example, assisting the responsible clinician with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and community services and supports.
Assists responsible Care Coordinator in identifying members for high risk complications.
Obtains clinical data as directed by the responsible Care Coordinator.
Assists the responsible Care Coordinator in identifying members that would benefit from an alternative level of care or other programs.
Provides all information collected to the responsible Care Coordinator, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible Care Coordinator, and in conjunction with the BH or PH care coordinator, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
Participating in the discharge process to assure a safe, timely discharge from in-patient settings to appropriate community settings with the right supports at the right time to reduce lengths of stay, readmissions and promote the best health of the member.
Outreaching to any identified members and their care team, the Anthem UM reviewer, and the hospital discharge planner.
Assessing members needs by identifying and planning for gaps in care.
Identifying and coordinating in-network resources to meet the needs of the member upon discharge and assuring initiation of these services are in a timely manner meeting quality standards.
Developing regional resource lists to include in-network providers and DME outpatient resources.
Obtaining a copy of the hospitals discharge plan of care and assist with assuring all providers are in network, appointments and transportation are scheduled, and member understands and agrees with the plan.
Assist on specialized HEDIS projects and other company initiatives.
Following up on members who have returned home from the hospital within 24 hours of discharge. Assuring that resources are in place and meeting needs, appointments are scheduled and transportation arranged.
Functions OR examples of projects for this role:
Assist with special HEDIS projects
Assist members with discharge planning
Observe Meetings with members
Observe Clinical Rounds
Participate in specialized projects
Pursuing a degree in Psychology, Social Work, Counseling, and Nursing and other related degrees
This internship is from June to December and is 40 hours per week/or 20 hours per week depending on school schedule in a virtual setting
Must be enrolled fulltime at an accredited college or university during internship
Students must be authorized to work in the U.S. without future visa sponsorship requirements
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.