Licensed Clinical Care Advisor Transition of Care (Region 3)

About the role

The Clinical Care Advisor Transition of Care is responsible for coordinating operations and workflows related to case management activities in support of specialty programs, such as Foster Care. This role serves as a coach, performing case management telephonically and/or by home visits within the scope of licensure. The role manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health.

Responsibilities

• Engage collaboratively with key stakeholders including families, foster parents, and service teams to craft and sustain individualized treatment plans.
• Facilitate effective transitions of care for children and families moving between treatment settings.
• Conduct assessments to identify individual needs.
• Develop comprehensive care plan to address objectives and goals as identified during assessment.
• Support member access to appropriate quality and cost-effective care and modify plan(s) as needed.
• Collaborate with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.
• Coordinate social determinants of health to meet the needs of the member and incorporate that into care planning.
• Works closely with various state agencies.
• Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.
• Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.

Requirements

• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and 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 any combination of education and experience, which would provide an equivalent background.
• Requires an 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 of the United States.

Preferred Skills, Capabilities, and Experiences

• Travels to worksite and other locations as necessary.
• Experience with transitions of care working in agencies or organizations serving children, youth and family involved in Department of Social Services and Juvenile Justice, with a deep understanding of the therapeutic residential and facility-based services within North Carolina, including the utilization of crisis and transition homes, Psychiatric Residential Treatment Facilities (PRTF), High Fidelity Wraparound and Assertive Community Treatment is strongly preferred.
• Experience working with transitional age youth and young adults preferred.
• Experience working with children, youth, and families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is strongly preferred.
• Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services.
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.

Benefits

At Elevance Health, 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.

Pay

Compensation is competitive and commensurate with experience.

Schedule

This role is primarily field-based, requiring travel to client sites or designated locations as the role requires, with occasional office attendance for meetings or training.

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.

Equal Opportunity Employer

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.