Job Overview
Employment Type
Full-time
Work Schedule
Flexible
Benefits
Merit increases
Paid holidays
Paid Time Off
Medical insurance
Dental Insurance
Vision Insurance
short-term disability
long-term disability
401(k) match
stock purchase plan
Life insurance
wellness programs
financial education resources
Job Description
Elevance Health is a leading health company dedicated to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with a robust history in the healthcare industry, Elevance Health is committed to transforming the healthcare experience for its members and fostering positive outcomes. The organization operates on a hybrid workforce strategy, with an emphasis on flexibility where associates typically work from home but may be required to visit Elevance Health locations as needed, ensuring a balanced and adaptive work environment. Elevance Health offers a comprehensive range of market-competitive benefits, including paid holidays, paid time... Show More
Job Requirements
- Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency
- Any combination of education and experience which would provide an equivalent background
- Strong computer skills including Excel, Outlook and Electronic Medical Records highly preferred
- BA/BS degree field of study in health care related field preferred
- Strong preference for case management experience with older adults or individuals with disabilities
- Specific education, years, and type of experience may be required based upon state law and contract requirements preferred
Job Qualifications
- Bachelor's degree in social work or related field
- Minimum of two years experience in social work or case management
- Strong computer skills including Excel, Outlook, and Electronic Medical Records
- Experience with case management for older adults or individuals with disabilities preferred
- Knowledge of long-term services and supports program requirements
- Ability to mentor and provide guidance to new staff
- Excellent communication and organizational skills
- Understanding of person-centered planning and trauma-informed care.
Job Duties
- Perform telephonic and virtual outreach to individuals in specialized programs, providers, or other stakeholders to support care plan efficacy
- Conduct in-person visits as needed based on business requirements
- Submit utilization and authorization requests aligned with individual care plans
- Utilize tools and consult with primary service coordinators to monitor person-centered support plans and identify risks
- Engage healthcare management and interdisciplinary teams to coordinate care
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective LTSS utilization
- Document member service and support goals with the care team
- Identify members benefiting from alternative services or waiver programs
- Serve as mentor or preceptor for new staff and participate in process improvement initiatives
- Report critical incidents to internal and external parties
- Assist in appeals, grievances, and state audits.
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
We didn't receive the exact location for this job posting,
please contact the employer.
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