Managed Care Coordinator (LBSW, LSW, LMSW, LCSW, LPC)
Managed Care Coordinator (LBSW, LSW, LMSW, LCSW, LPC)
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Job Description
Anticipated End Date:
Position Title:
Managed Care Coordinator (LBSW LSW LMSW LCSW LPC)Job Description:
LOCATION: This is a virtual eligible position for the Tidewater area of Virginia. Residency in the Hampton/Newport News area is preferred. Virginia residency is required.
HOURS: General business hours Monday through Friday.
TRAVEL: Some travel within the Tidewater region may be required.
This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports work-life integration and ensures essential face-to-face onboarding and skill development.
The Managed Care Coordinator Clinician Non-RN is responsible for contributing to the care coordination process by performing activities within the scope of licensure. This includes tasks such as conducting telephonic or face-to-face assessments for the identification evaluation coordination and management of members needs including physical health behavioral health social services and community services and supports. This position operates with overall responsibility for the members case as required by applicable state law and contract.
Primary responsibilities include but are not limited to:
Identifies members for high risk complications.
Obtains clinical data.
Identifies members that would benefit from an alternative level of care or other waiver programs.
Conducts additional assessments as necessary and develops monitors evaluates and revises the members care plan to meet the members needs.
Participates in coordinating care for members with chronic illnesses co-morbidities and/or disabilities and ensures cost effective and efficient utilization of health benefits.
Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.
Required Qualifications
Current unrestricted LSW LCSW LMSW LBSW or any clinical license other than an RN from the Commonwealth of Virginia is required.
A minimum of 2 years of experience in working with individuals with chronic illnesses co-morbidities and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience which would provide an equivalent background.
May require state-specified certification based on state law and/or contract.
Preferred Qualifications
I/DD and/or behavioral health experience is very strongly preferred.
Care Coordination experience is preferred.
Job Level:
Non-Management Non-ExemptWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed/Certified - OtherPlease 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 market-competitive 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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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.
Required Experience:
IC
Employment Type
Full-Time
