Elevance Health Jobs

Special Programs Case Manager I

Location: The territory for this position is the state of GA. The selected candidate must reside in GA. Residing in Atlanta, GA is highly preferred.

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.

Minimum Qualifications:

• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and a minimum of 3 years of clinical experience in social work and/or counseling with a broad range of experience with complex psychiatric diagnoses, autism, and substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.

• Current active unrestricted license as an RN, LCSW, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in Georgia is required.

• LAPC, LAMFT, and 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.

Preferred Skills, Capabilities, and Experiences:

• Experience working with specialty populations – DFCS and adoptive families/children highly preferred.

• Clinical experience in social work and/or counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

• Willingness to travel to worksite or other locations.