Managed Care Coordinator

About the role

The Managed Care Coordinator will perform telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs.

Responsibilities

• Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications)
• Coincides those members’ cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support
• Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of services
• Establishes short- and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians
• Identifies members that would benefit from expanded services

Requirements

• Bachelor’s degree (BA/BS) and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations
• Any combination of education and experience which would provide an equivalent background

Preferred Skills, Capabilities, and Experiences

• Bachelor’s degree in a health care related field preferred
• 4-6 years’ experience in the Behavioral Health Field
• Travels to worksite and other locations as necessary
• Community Health Worker certification (Qualified Mental Health Professional – QMHP)

Benefits

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Pay

The salary range for this specific position is $25.00 - $31.25

Schedule

This role enables associates to work virtually full-time, except for 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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.

Qualifications

No qualifications are listed in the job posting.

Contact Information

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.

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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

COVID-19 Vaccination Requirement

All new candidates in certain patient/member-facing roles must 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.

Education and Awareness Resources

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.