Field-Based Care Navigator, Special Programs

Elevance Health; Hampton (VA); Hybrid; USD 61,000 - 96,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) contribution + match

Stock purchase plan

Job summary

Elevance Health in Virginia is seeking a Special Programs Case Manager I to perform telephonic and home-visit case management within licensure for programs like Foster Care. The role requires field travel and occasional office attendance, with a hybrid work approach in select locations.

You will assess member needs, develop care plans, coordinate with health and community resources, and support whole-person care while addressing social determinants of health.

Qualifications

• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing.
• A minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background is required.
• Requires an active, current and valid license such as an LCSW, LMSW, LPC, LAPC, LMFT LMHC, or RN issued by the Commonwealth of Virginia.

Responsibilities

• 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.

Skills

Case management

Communication

Interpersonal skills

Microsoft Office

Education

MSW or related behavioral health degree

Tools

Microsoft Office

Electronic Health Records

Job description

Elevance Health in Virginia is seeking a Special Programs Case Manager I to perform telephonic and home-visit case management within licensure for programs like Foster Care. The role requires field travel and occasional office attendance, with a hybrid work approach in select locations.

You will assess member needs, develop care plans, coordinate with health and community resources, and support whole-person care while addressing social determinants of health.