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Managed Care Coordinator – Behavioral Health, Foster Care (BSW, MSW, QMHP)
Elevance Health. Manage members' individual service plans within the scope of the position and applicable state law and contract .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing individual service plans and coordinating care for members with chronic illnesses and disabilities. Proficient in conducting assessments and collaborating with interdisciplinary teams to support members' healthcare needs.
Highest-signal resume keywords
BA/BS DegreeExperience With Foster CareBehavior/Mental Health ExperienceLTSS / DD Waiver ExperienceQMHP, MSW Or BSW Degree Preferred
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Program Needs AssessmentCase CoordinationGoal SettingClinical Healthcare ManagementService Plan Management
Soft Skills
Interpersonal CommunicationCollaborationProblem Solving
Certifications & Qualifications
COVID-19 VaccinationInfluenza Vaccination
Industry Keywords
Chronic Illness ManagementCo-MorbiditiesDisabilitiesCommunity Based OrganizationsVirginia Counties
About the role
Key responsibilities & impact- Manage members' individual service plans within the scope of the position and applicable state law and contract
- Perform telephonic or face-to-face history and program needs assessments using predefined questions
- Identify, evaluate, coordinate, and manage members' program needs
- Identify members with potential clinical healthcare needs using predefined tools and processes
- Coordinate cases with clinical healthcare management and interdisciplinary teams
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities
- Support cost-effective and efficient utilization of services
- Establish short- and long-term goals with members, caregivers, families, natural supports, and physicians
- Identify members who would benefit from expanded services
- Travel to worksites, client sites, and other designated locations as necessary
- Attend office meetings or training occasionally
Requirements
What you’ll need- BA/BS degree
- 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
- QMHP, MSW or BSW degree preferred
- Specific education and years and type of experience may be required based upon state law and contract requirements
- Travels to worksite and other locations as necessary
- Experience with Foster Care preferred
- Behavior/Mental Health experience preferred
- LTSS / DD waiver experience preferred
- Candidates should reside in the listed Virginia counties/locations
- Candidates must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- COVID-19 and Influenza vaccination required for certain patient/member-facing roles unless an acceptable explanation is provided
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- 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