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Elevance Health

Sells health insurance and pharmacy benefits

Managed Care Coordinator - Behavioral Health/Foster Care

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • A bachelor's degree or equivalent combination of education and experience is required.
  • At least one year of experience working directly with people related to the specific program population or other related community-based organizations is required.
  • QMHP, MSW, or BSW degree is preferred.
  • Specific education and years and type of experience may be required based upon state law and contract requirements.
  • Travel to the worksite and other locations as necessary is required.

Responsibilities

  • Manage members' individual service plans within the scope of the position, as required by applicable state law and contract.
  • Perform telephonic or face-to-face history and program-needs assessments using a tool with predefined questions to identify, evaluate, coordinate, and manage members' program needs.
  • Identify members with potential clinical healthcare needs, including potential high-risk complications, using tools and a predefined identification process, and coordinate their cases with clinical healthcare management and the interdisciplinary team to provide care coordination support. This process does not involve clinical judgment.
  • Manage non-clinical needs of members with chronic illnesses, comorbidities, and/or disabilities to ensure cost-effective and efficient utilization of services.
  • Establish short- and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians.
  • Identify members who would benefit from expanded services.

Desired Qualifications

  • Experience with Foster Care is preferred.
  • Behavioral or mental health experience is preferred.
  • LTSS or DD waiver experience is 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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