Managed Care Coordinator
| Company | Elevance Health |
|---|---|
| Location | Roanoke, VA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior |
Requirements
- Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background.
Responsibilities
- Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member’s cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
- Manages the needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services.
- Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians.
- Identifies members that would benefit from expanded services.
Preferred Qualifications
- Masters degree in healthcare or human services (psychology or social work) preferred.
- Specific education and years and type of experience may be required based upon state law and contract requirements.