Care Coordination Specialist (Hybrid)

Elevance Health; Durham, Northern (NC, KY); On-site; USD 55,000 - 75,000; Full time

Job summary

Elevance Health, a leading health company, is seeking professionals to manage member service plans and perform telephonic or in-person assessments to identify and coordinate care needs.

The role requires a BA/BS in a health-related field or equivalent experience, with at least one year of direct work with program populations. Travel to worksites is required; relocation within 50 miles may be needed.

Qualifications

• 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.
• BA/BS degree field of study in health care related field preferred. Specific education and years and type of experience may be required based upon state law and contract requirements.

Responsibilities

• Responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract.
• Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs.
• Identifies members with potential clinical health care needs and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
• Manages non-clinical 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.

Skills

Care coordination

Telephonic assessment

Interdisciplinary collaboration

Education

Bachelor's degree

Job description

Elevance Health, a leading health company, is seeking professionals to manage member service plans and perform telephonic or in-person assessments to identify and coordinate care needs.

The role requires a BA/BS in a health-related field or equivalent experience, with at least one year of direct work with program populations. Travel to worksites is required; relocation within 50 miles may be needed.