Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $24.00 - $30.00
Work Schedule
Standard Hours
Flexible
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
401(k) Plan
Equity stock purchase plan
incentive bonus programs
Job Description
Elevance Health is a leading health company committed to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with a rich history in the healthcare industry, Elevance Health specializes in delivering high-quality, trauma-informed, culturally competent, and person-centered care coordination services. The organization focuses on comprehensive support to members that integrates physical health, behavioral health, long-term services and supports (LTSS), as well as psychosocial needs. Elevance Health operates a Hybrid Workforce Strategy, which allows associates to work primarily remotely with certain expectations to work onsite at least once per week unless otherwise specified by... Show More
Job Requirements
- Requires BA/BS degree
- Minimum of two years of experience working with a social work agency or equivalent
- Strong computer skills including Excel, Outlook, and Electronic Medical Records
- Ability to perform telephonic, virtual, and occasional in-person outreach
- Knowledge of long-term services and supports, behavioral health, and physical health coordination
- Must comply with company vaccination policies
- Willingness to travel up to 10% of the time for field work
- Must be within reasonable commuting distance to work location unless accommodation is granted
- Ability to document and monitor care plans
- Excellent communication and documentation skills
Job Qualifications
- BA/BS degree or equivalent combination of education and experience
- Minimum two years of experience working with social work agencies or related fields
- Strong computer skills including proficiency in Excel, Outlook, and Electronic Medical Records
- Experience with case management especially for older adults or individuals with disabilities preferred
- Knowledge of healthcare related fields preferred
- Ability to work independently and in virtual and field environments
- Strong communication and interpersonal skills
- Understanding of person-centered planning and care coordination principles
Job Duties
- Perform telephonic or virtual outreach to individuals in specialized programs, providers, or stakeholders to support care plans and meet contractual outreach requirements
- Conduct in-person visits as needed based on business needs
- Submit utilization or authorization requests with documentation supporting care plans
- Monitor Person-Centered Support Plans (PCSP) and consult with primary service coordinators when risks related to LTSS, physical or behavioral health are identified
- Engage with healthcare management and interdisciplinary teams to provide coordinated care support
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for efficient utilization of long-term services
- Document members' short- and long-term service and support goals in collaboration with care teams
- Identify members who may benefit from alternative services or waiver programs
- Serve as mentor, subject matter expert, or preceptor for new staff
- Report critical incidents to appropriate internal and external parties including state and county agencies
- Assist in appeals, fair hearings, member grievances, and state audits
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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