Special Programs Case Mgr I at Elevance Health

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing
Minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment (or equivalent combination of education and experience)
Active, current, and valid license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory
Live within 50 miles of Atlanta, GA PulsePoint location (or reasonable commuting distance per hybrid policy)
For Government business only, LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure

Responsibilities

Conduct assessments to identify individual needs
Develop comprehensive care plans to address objectives and goals identified during assessments
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 for 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 follow-up care arrangements
Manage overall healthcare costs for designated populations (e.g., Adoption Assistance and Foster Care) via integrated case management telephonically/virtually within scope of licensure
Travel to worksite and other locations as necessary

Skills

Case Management

Telephonic Assessment

Care Planning

Healthcare Coordination

Behavioral Health

Social Determinants of Health

Foster Care

Adoption Assistance

State Agency Collaboration

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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