Special Programs Case Manager I (Licensed BH Clinician)

Elevance Health • Atlanta, GA

5d • Hybrid

About The Position

The Special Program Case Manager I performs case management telephonically and/or through home visits, within the scope of licensure, for special programs such as Foster Care. The role manages overall healthcare costs for its designated population through integrated physical and behavioral health case management and whole-person health. This hybrid position is based in Atlanta, Georgia, and requires the associate to be a Georgia resident and work in the office 1–2 days per week. Candidates must live within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law. Standard hours are Monday through Friday during business hours.

Requirements

• A master's degree in social work, counseling, or a related behavioral health field, or a nursing degree, and at least 3 years of clinical experience in social work counseling with broad experience in complex psychiatric and substance abuse or substance use disorder treatment; alternatively, an equivalent combination of education and experience.
• 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 within the scope of licensure in applicable U.S. states or territories.
• Must be a resident of Georgia.

Nice To Haves

• Experience working with specialty populations.
• Clinical social work experience with displaced, foster, or adopted children and their families.

Responsibilities

• Conduct assessments to identify individual needs.
• Develop comprehensive care plans addressing objectives and goals identified during assessments.
• Support member access to appropriate, quality, and cost-effective care, and modify plans as needed.
• Coordinate internal and external resources to meet members' integrated physical and behavioral health needs.
• Coordinate social determinants of health and incorporate them into care planning.
• Work closely with state agencies.
• Maintain knowledge of the system-of-care philosophy and coordinated networks of effective community-based services and supports for people with or at risk of mental health or other challenges and their families.
• Build meaningful partnerships with designated populations and their families, addressing cultural and linguistic needs to support functioning at home, in the community, and throughout life.
• Evaluate health needs and identify applicable services and resources with members and their families.
• Provide patient education, medication reconciliation, and information about community resources, and assist with arranging follow-up care.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs, unless covered by a collective bargaining agreement
• Medical benefits
• Dental benefits
• Vision benefits
• Short- and long-term disability benefits
• 401(k) with match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level