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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 BA/BS degree or an equivalent combination of education and experience.
  • At least 1 year of experience working directly with people in the specific program population or in related community-based organizations.

Responsibilities

  • Perform telephonic or face-to-face history and program-needs assessments using predefined questions to identify, evaluate, coordinate, and manage members’ program needs.
  • Use predefined tools and identification processes to identify members with potential clinical healthcare needs, including possible high-risk complications, and coordinate cases with clinical healthcare management and the interdisciplinary team to provide care coordination support.
  • Manage non-clinical needs of members with chronic illnesses, comorbidities, or disabilities to support cost-effective and efficient service utilization.
  • Establish short- and long-term goals in collaboration with members, caregivers, family, natural supports, and physicians.
  • Identify members who could benefit from expanded services.
  • Travel to worksites and other locations as necessary.

Desired Qualifications

  • A Qualified Mental Health Professional (QMHP), Master of Social Work (MSW), or Bachelor of Social Work (BSW) degree is preferred.
  • Specific education and years and types of experience may be required based on state law and contract requirements.
  • Experience with foster care is preferred.
  • Behavioral or mental health experience is preferred.
  • Long-Term Services and Supports (LTSS) or Developmental Disabilities (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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