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Special Programs Case Manager I – Licensed
Elevance HealthSpecial Programs Case Manager I managing case management via telephonic and home visits in Virginia Foster Care. Engaging with various state agencies and ensuring quality of care.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing
- Minimum of 3 years of clinical experience in social work counseling with a broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
- Requires an active, current and valid license as an RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
- 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 Virginia Foster Care is extremely helpful for this role
- Prior experience working with the Community Services Board (CSB) and/or Department of Social Services (DSS)
- Traveling to worksites and other locations when necessary
- Must be computer literate and have some experience using Microsoft applications (Word, Excel, Outlook)
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short term disability benefits
- long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical experiencecase managementpsychiatric treatmentsubstance abuse treatmentcare planningpatient educationmedication reconciliationcommunity resource identificationhealth needs evaluationsocial determinants of health
Soft Skills
interpersonal skillscultural competencecommunication skillsorganizational skillspartnership buildingproblem-solvingcollaborationadaptabilityempathyadvocacy
Certifications
RN licenseLCSWLMHCLPCLMFTClinical Psychologist license