Hospital Liaison - Special Programs Case Manager I

Elevance Health•Durham, NC

1d•Hybrid

About The Position

The Hospital Liaison - Special Programs Case Manager I coordinates with hospital emergency departments when youth are hospitalized without an identified discharge plan or placement. The role is the primary contact for communication about youth awaiting placement, coordinating between external hospital partners and internal care management and placement teams to support timely, consistent discharge planning. The position is field-based and requires North Carolina residency, with travel to work sites and other locations as necessary. Associates may attend an office occasionally for meetings or training; hybrid/virtual work requirements may include attending an Elevance Health location at least once per week unless the hiring manager specifies the role as primarily virtual. The case manager supports integrated physical and behavioral health case management, assesses individual needs, develops and adjusts care plans, and helps members and families access appropriate, quality, cost-effective services and resources. The role also coordinates and facilitates internal and external staffing meetings, tracks follow-up actions, and provides routine updates on placement status, risks, safety concerns, and outstanding needs. The minimum qualifications include a relevant master's degree or nursing degree with the specified clinical experience, or an equivalent combination of education and experience, as well as an active, current, valid professional license. Associate-level licenses such as LCSW-A and LCMHC-A are not accepted. For Government business only, certain additional licenses may be accepted as allowed by applicable law.

Requirements

North Carolina residency is required.
A master's degree in social work, counseling, or a related behavioral health field, or a nursing degree with at least 3 years of clinical experience in social work counseling and broad experience with complex psychiatric and substance abuse or substance use disorder treatment; or an equivalent combination of education and experience.
An active, current, and valid license as an RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist, as applicable under state law and scope of practice, to practice as a health professional in applicable U.S. states or territories.
Strong coordination and follow-through, with the ability to manage multiple active cases simultaneously.
Clear, professional written and verbal communication, including the ability to convey high-risk and safety information succinctly.
Skill in facilitating meetings and ensuring action items are completed.
A calm, solutions-oriented approach in high-stress situations.
Strong documentation and tracking habits, with attention to detail and deadlines.
Ability to navigate complex systems and collaborate across agencies and organizations.
LCSW-A, LCMHC-A, and other associate-level licenses are not accepted.
For Government business only, LAPC, LAMFT, or LMSW may also be acceptable where allowed by applicable state laws, in addition to the other referenced licenses and any other applicable state or federal requirements.

Nice To Haves

Experience working with specialty populations.
Clinical experience in social work counseling with a broad range of complex psychiatric, substance abuse, and/or medical disorders.
Experience working with youth in crisis, emergency department boarding, psychiatric placement, or child welfare/juvenile services.
Familiarity with community-based placements and levels of care for youth.

Responsibilities

Serve as the primary contact for hospitals and emergency departments regarding youth who are boarding and awaiting placement.
Schedule and facilitate staffing meetings, track action items, and provide status updates to support safe and appropriate discharge planning.
Manage healthcare costs for the designated population through integrated physical and behavioral health case management and whole-person health.
Conduct assessments to identify individual needs.
Develop comprehensive care plans addressing objectives and goals identified during assessment.
Support access to appropriate, quality, and cost-effective care, and modify care plans as needed.
Coordinate and maintain communication with emergency department staff, including social work, case management, nursing leadership, and security, about status updates, safety concerns, and discharge barriers.
Organize and facilitate internal and external staffing meetings, including preparing agendas, distributing meeting links, documenting decisions, and assigning follow-up tasks.
Provide clear, routine written updates to internal leadership and involved teams about each youth's placement status, risks and safety concerns, and outstanding needs.
Evaluate health needs and identify applicable services and resources in conjunction with members and their families.
Travel to work sites and other locations as necessary.