Elevance Health • Washington, DC 20080
Job #2684823176
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Managed Care Coordinator Clinician Non RN
Job Family: MED > Licensed/Certified - Other
Type: Full time
Date Posted:Apr 19, 2024
Anticipated End Date:May 03, 2024
Reference: JR114173
Location:
IN, INDIANAPOLIS
PA, SEVEN FIELDS
VA, ARLINGTON
MA, BOSTON
OH, CINCINNATI
VA, RICHMOND
NY, NEW YORK
CT, ROCKY HILL
CA, RANCHO CORDOVA
NE, LINCOLN
TN, BRENTWOOD
DC, WASHINGTON
NV, LAS VEGAS
MN, MENDOTA HEIGHTS
TN, KNOXVILLE
MO, COLUMBIA
VA, ASHBURN
OH, COLUMBUS
NC, CARY
WA, LAKEWOOD
WI, MADISON
WV, CHARLESTON
DE, WILMINGTON
OH, SEVEN HILLS
RI, SMITHFIELD
ID, MERIDIAN
ID, MERIDIAN
NC, WINSTON
GA, ATLANTA
DC, WASHINGTON
IL, DEERFIELD
FL, TAMPA
FL, ALTAMONTE SPRINGS
FL, TALLAHASSEE
KS, TOPEKA
VA, ROANOKE
NY, Lake Success
CO, COLORADO SPRINGS
FL, JACKSONVILLE
CA, WOODLAND HILLS
WI, Waukesha
NJ, MORRISTOWN
OH, MASON
NY, ALBANY
CA, SACRAMENTO
CA, WALNUT CREEK
PA, HERMITAGE
KY, LOUISVILLE
NH, MANCHESTER
WA, SEATTLE
TX, GRAND PRAIRIE
IL, CHICAGO
TX, AUSTIN
MI, DEARBORN
TN, NASHVILLE
MN, GILBERT
LA, METAIRIE
NY, MIDDLETOWN
PR, San Juan
IL, SPRINGFIELD
TX, HOUSTON
VA, NORFOLK
CA, LOS ANGELES
CT, WALLINGFORD
MO, ST LOUIS
GA, SAVANNAH
CA, COSTA MESA
MD, HANOVER
NJ, ISELIN
CA, CERRITOS
OH, MASON
IL, CHICAGO
CO, DENVER
NV, LAS VEGAS
CA, PALO ALTO
ME, SOUTH PORTLAND
NY, LATHAM
OH, COLUMBUS
HI, KAPOLEI
GA, AUGUSTA
IA, W DES MOINES
MA, WOBURN
MA, NEWTON 55 CHAPEL ST
Description
Managed Care Coordinator Clinician Non RN
Location: Remote, within 50 miles of an Elevance location
Shift: 10:30 am - 7 pm CST, with the possibility of a Saturday shift from 8 am - 2 pm CST.
The Managed Care Coordinator Clinician Non-RN is responsible for working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and community services and supports.
How you will make an impact:
Assists responsible RN in identifying members for high risk complications.
Obtains clinical data as directed by the responsible RN.
Assists the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs.
Provides all information collected to the responsible RN, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the members care plan to meet the members needs.
Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.
Minimum Requirements:
Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.
Preferred Skills, Capabilities and Experiences:
Compact Nursing License is strongly preferred.
May require state-specified certification based on state law and/or contract.
Experience using multiple screen
Excellent phone skills/etiquette- phone based role.
For candidates working in person or remotely in the below locations , the salary* range for this specific position is $29.24 to $52.62
Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). 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.
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.
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.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. 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.
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 ~~~ for assistance.
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