Special Programs Case Mgr I (Licensed BH professional))

Elevance Health•Smithfield, VA

1d•Hybrid

About The Position

The Special Programs Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health. This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Some travel within your assigned region (facility or home visits) is expected.

Requirements

Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing.
A 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 is required.
Requires an active, current and valid license such as an LCSW, LMSW, LPC, LAPC, LMFT LMHC, or RN issued by the Commonwealth of Virginia.

Nice To Haves

Experience working with specialty populations preferred.
Case management with a broad range of complex psychiatric/substance abuse and/or medical disorders is very strongly preferred.
Knowledge of the Virginia Foster Care is extremely helpful for this role strongly preferred.
Prior experience working with the Community Services Board (CSB) and/or Department of Social Services (DSS) is preferred.
Traveling to worksite and other locations when necessary is highly preferred.
You must be computer literate and have some experience using Microsoft applications (Word, Excel, Outlook), etc is preferred.

Responsibilities

Conducts assessments to identify individual needs.
Develops comprehensive care plan to address objectives and goals as identified during 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, in order to help them function better at home, in the community, and throughout life.
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.