Clinical Care Advisor - Behavioral Health (BH) and BH Crisis (DSS Region 1) at Elevance Health

North Carolina, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

NoVisa

Healthcare, Medicaid, Behavioral HealthIndustries

Requirements

North Carolina residency required
Licensed clinical professional (within the scope of licensure for case management in special programs like Foster Care)
Ability to travel within assigned Region 1 counties (Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Madison, Polk, Swain, Transylvania, Yancey, Macon, Jackson, Mitchell)
Field-based role requiring travel to client sites or designated locations, with occasional office attendance; work virtually from home when not in the field
Within reasonable commuting distance from posting location(s), unless accommodation granted
Availability for standard business hours, Monday through Friday

Responsibilities

Perform case management telephonically and/or by home visits within scope of licensure for special programs like Foster Care
Manage overall healthcare costs for designated population via integrated (physical health/behavioral health) case management and whole person health
Support behavioral health requirements of children and adolescents in North Carolina's foster care system by coordinating care, facilitating mental health service access, and collaborating with providers, case workers, and families
Educate families and case managers about behavioral health conditions and treatment options
Conduct assessments to identify individual needs
Develop comprehensive care plans to address 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 identified needs in terms of integrated (physical and behavioral) whole person care
Coordinate social determinants of health and incorporate into care planning
Work closely with various state agencies
Maintain knowledge of the system of care philosophy and coordinated network of community-based services
Build meaningful partnerships with designated populations and families, addressing cultural and linguistic needs
Evaluate health needs and identify applicable services and resources in conjunction with members and families
Provide patient education, medication reconciliation, identification of community resources, and assist with arrangement of follow-up

Skills

Behavioral Health

Crisis Intervention

Medicaid

Care Management

Child Welfare

Case Management

Clinical Assessment

North Carolina Residency

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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