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Elevance Health

Sells health insurance and pharmacy benefits

Special Programs Case Manager 1 - Licensed BH professional

Medical, Clinical & VeterinaryUpdated on Nov 13
Full-timeIn-person

About the Job

Requirements

  • A master's degree (MS/MA) in social work, counseling, or a related behavioral health field, or a degree in nursing, is required.
  • At least 3 years of clinical experience in social work counseling with broad experience in complex psychiatric and substance abuse or substance use disorder treatment is required, or an equivalent combination of education and experience.
  • An active, current, and valid license issued by the Commonwealth of Virginia is required, such as LCSW, LMSW, LPC, LAPC, LMFT, LMHC, or RN.

Responsibilities

  • Perform case management telephonically and/or through home visits within the scope of licensure for special programs such as Foster Care.
  • Manage overall healthcare costs for the designated population through integrated physical and behavioral health case management and whole-person health.
  • Conduct assessments to identify individual needs.
  • Develop comprehensive care plans addressing objectives and goals identified during assessment.
  • Support member access to appropriate, quality, and cost-effective care and modify plans as needed.
  • Coordinate with internal and external resources to meet members' identified needs for integrated physical and behavioral whole-person care.
  • Coordinate social determinants of health to meet members' needs and incorporate them into care planning.
  • Work closely with various state agencies.
  • Maintain knowledge of the system-of-care philosophy and its coordinated network of community-based services and supports for people with or at risk for mental health or other challenges and their families.
  • Build meaningful partnerships with designated populations and their families, addressing cultural and linguistic needs to help them function better at home, in the community, and throughout life.
  • Evaluate health needs and identify applicable services and resources in conjunction with members and their families.
  • Provide patient education, medication reconciliation, and community-resource identification, and assist with arranging follow-up care.
  • Travel within the assigned region for facility or home visits as needed.

Desired Qualifications

  • Experience working with specialty populations.
  • Case management experience with a broad range of complex psychiatric, substance abuse, and/or medical disorders.
  • Knowledge of Virginia Foster Care.
  • Prior experience working with the Community Services Board (CSB) and/or Department of Social Services (DSS).
  • Willingness to travel to worksites and other locations when necessary.
  • Computer literacy and experience using Microsoft Word, Excel, and Outlook.

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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