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Elevance Health

Sells health insurance and pharmacy benefits

Care Coordinator

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeStaten Island, NY, USA

About the Job

Requirements

  • A high school diploma or equivalent and at least 2 years of experience in case management care coordination in an HMO environment, or an equivalent combination of education and experience.
  • Mandarin bilingual or multilingual proficiency is highly preferred.
  • Proficiency in Microsoft Excel is strongly preferred.
  • Candidates must be within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law.
  • Candidates in certain patient- or member-facing roles must be vaccinated against COVID-19 and influenza unless an acceptable explanation is provided.

Responsibilities

  • Implement, coordinate, monitor, and evaluate options and services to meet members' health needs and ensure appropriate use of clinical resources.
  • Monitor delivery of care across all markets.
  • Maintain daily admissions and discharge records.
  • Expedite and coordinate appointments for assigned hospitalized members.
  • Authorize and coordinate services.
  • Keep all providers involved in a member's care updated on appointments, condition, and additional clinical support needed.
  • Request and gather necessary medical records.
  • Maintain accurate and complete documentation in the Case Management database.

Desired Qualifications

  • Microsoft Excel proficiency is strongly preferred.
  • Mandarin proficiency is highly preferred.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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