Manager I Health Care Mgmt Services

Anticipated End Date:

Position Title:

Job Description:

Location: This position must reside within 50 miles of our Elevance Health PulsePoint located in Topeka or Overland Park KS.

The Manager I Health Care Mgmt Servicesis responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service utilization access care management and/or concurrent review to ensure cost effective utilization of health mental health and substance abuse services for one or more member product populations of varying medical complexity ensuring the delivery of essential services that address the total healthcare needs of members.

How youll make a difference:

• Manages and oversees team responsible in case finding and coordinating cases that involve comorbid conditions.
• Coordinates service delivery to include member assessment of physical and psychological factors.
• Partners with providers to establish short and long term goals that meet the members needs functional abilities and referral sources requirements.
• Identifies members with potential for high risk complications.
• Reviews benefit systems and cost benefit analysis.
• Evaluates medical mental health and substance abuse service for cost containment.
• Supports program compliance and assists in identifying opportunities to improve the customer service and quality outcomes.
• Supports quality initiatives and activities including adherence to National Committee for Quality Assurance (NCQA) standards and HEDIS reporting.
• Hires trains coaches counsels and evaluates performance of direct reports.

Minimum Requirements:

• Requires BA/BS and minimum of 5 years of experience in Health Care Management; or any combination of education and experience which would provide an equivalent background.
• Current active unrestricted RN PA LSW LCSW LPC LMHC or other accepted license (as allowed by applicable state laws) and any other state or federal requirements that may apply is required.

Preferred skills qualifications and experiences:

• MSN MPH MPA MSW or MBA with Health Care Concentration preferred.
• Certified Case Manager Certification preferred.

Job Level:

Workshift:

Job Family:

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.

We offer a range of marketcompetitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.