Member Care Coordinator - Hybrid Health Support

Elevance Health; Stanley (NC); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Major medical

HSA

Dental

Vision

Employer-provided group life

Voluntary life insurance

Short-term disability

Long-term disability

401k

Job summary

Elevance Health is seeking a Health Care Coordinator to manage member service plans, perform needs assessments, and coordinate care with a clinical team in a hybrid work setting across North Carolina. The role emphasizes non-clinical support for members with chronic conditions and collaboration with caregivers and physicians.

The position requires a BA/BS in a health-related field and at least 1 year of related experience; travel to worksites is expected.

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.
• Travels to worksite and other locations as necessary.
• For MMP, requires Community Health Worker certification to be obtained within one year of employment.

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.
• Using tools and pre-defined identification process, identifies members with potential clinical health care needs and coordinates those member's cases with the clinical healthcare management and interdisciplinary team to provide care coordination support.
• 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

BA/BS degree

Healthcare experience

Travel

Education

BA/BS degree in health care related field

Job description

Elevance Health is seeking a Health Care Coordinator to manage member service plans, perform needs assessments, and coordinate care with a clinical team in a hybrid work setting across North Carolina. The role emphasizes non-clinical support for members with chronic conditions and collaboration with caregivers and physicians.

The position requires a BA/BS in a health-related field and at least 1 year of related experience; travel to worksites is expected.