Licensed Programs Case Manager I

Elevance Health • Atlanta, GA

3d • Hybrid

About The Position

The Special Programs Case Manager I is responsible for performing case management telephonically/virtually within the scope of licensure for special programs, such as Adoption Assistance and Foster Care. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole-person health. How you will make an impact: Conducts assessments to identify individual needs. Develops a comprehensive care plan to address objectives and goals as identified during the assessment. Supports member access to appropriate quality and cost-effective care and modifies plan(s) as needed. Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole-person care Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning. Works closely with various state agencies Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network. Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, to help them function better at home, in the community, and throughout life. Evaluates health needs and identify 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 the 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.
• For Government business only, LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
• Travels to worksite and other locations as necessary.

Nice To Haves

• Experience working with specialty populations preferred.
• Knowledge of foster care, adoption and juvenile justice systems highly preferred.
• Clinical experience in social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

Responsibilities

• Conducts assessments to identify individual needs.
• Develops a comprehensive care plan to address objectives and goals as identified during the assessment.
• Supports member access to appropriate quality and cost-effective care and modifies plan(s) as needed.
• Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole-person care
• Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning.
• Works closely with various state agencies
• Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.
• Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, to help them function better at home, in the community, and throughout life.
• Evaluates health needs and identify 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 the arrangement of follow-up care.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees