Managed Care Coordinator Clinician - Non RN
Company: Elevance Health
Location: Denver
Posted on: November 19, 2023
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Job Description:
WARNING: Please beware of phishing scams that solicit interviews
or promote work-at-home opportunities, some of which may pose as
legitimate companies. Elevance Health requires a completed online
application for consideration of employment for any position. We
will never ask you for a credit card, send you a check, or ask you
for payment as part of consideration for employment.
Managed Care Coordinator Clinician - Non RN
Job Family: Medical and Clinical
Type: Full time
Date Posted:Oct 25, 2023
Req #: JR93490
Location:
NY, NEW YORK
PA, SEVEN FIELDS
VA, ARLINGTON
FL, MIAMI
MA, BOSTON
IN, INDIANAPOLIS
OH, CINCINNATI
NY, NEW YORK
CT, ROCKY HILL
LA, BATON ROUGE
MI, WIXOM
TN, BRENTWOOD
DC, WASHINGTON
MD, ANNAPOLIS
NV, LAS VEGAS
MN, MENDOTA HEIGHTS
TN, KNOXVILLE
MO, SPRINGFIELD
MO, COLUMBIA
VA, ASHBURN
OH, COLUMBUS
NC, CARY
WA, LAKEWOOD
WI, MADISON
NE, LINCOLN
DE, WILMINGTON
NE, OMAHA
OH, SEVEN HILLS
ID, MERIDIAN
ID, MERIDIAN
RI, SMITHFIELD
MA, HINGHAM
NC, WINSTON
GA, ATLANTA
DC, WASHINGTON
IL, DEERFIELD
VA, RICHMOND
KY, SHELBYVILLE
FL, ALTAMONTE SPRINGS
NY, Lake Success
KS, TOPEKA
VA, ROANOKE
NY, Lake Success
CO, COLORADO SPRINGS
FL, JACKSONVILLE
MD, BALTIMORE
WI, Waukesha
NJ, MORRISTOWN
MO, JEFFERSON CITY
TN, MEMPHIS
OH, MASON
NY, ALBANY
PA, HERMITAGE
KY, LOUISVILLE
WA, SEATTLE
NH, MANCHESTER
TX, GRAND PRAIRIE
IL, CHICAGO
NY, EAST SYRACUSE
TX, AUSTIN
MI, DEARBORN
TX, DENISON
VA, CHESAPEAKE
TN, NASHVILLE
MN, GILBERT
LA, METAIRIE
NY, MIDDLETOWN
AR, LITTLE ROCK
IL, SPRINGFIELD
GA, MIDLAND
TX, HOUSTON
VA, NORFOLK
CT, WALLINGFORD
MO, ST LOUIS
MD, HANOVER
NJ, ISELIN
OH, MASON
IL, CHICAGO
CO, DENVER
NV, LAS VEGAS
PA, HARRISBURG
ME, SOUTH PORTLAND
NY, LATHAM
OH, COLUMBUS
HI, KAPOLEI
IA, W DES MOINES
MA, WOBURN
MA, NEWTON 55 CHAPEL ST
Description
Managed Care Coordinator Clinician Non-RN
Location: Remote, within 50 miles of an Elevance location
Shift: A 9-hour shift, 4 days a week from 9:30 am - 7 pm CST and
Saturday from 8 am - 12:00 pm CST
A proud member of the Elevance Health family of companies, Carelon
Post Acute Solutions, formerly myNEXUS, is the leader in health
resource optimization, focused on transforming how healthcare is
delivered and promoting the advancement of care for the people we
serve. The Managed Care Coordinator Clinician Non-RN is responsible
for working under the direction/supervision of an RN, with overall
responsibility for the member's case, as required by applicable
state law and contract, contributes to the care coordination
process by performing activities within the scope of licensure
including, for example, assisting the responsible RN with
telephonic assessments for the identification, evaluation,
coordination and management of member's needs, including physical
health, behavioral health, social services and community services
and supports.
How you will make an impact:
Assists responsible RN in identifying members for high risk
complications.
Obtains clinical data as directed by the responsible RN.
Assists the responsible RN in identifying members that would
benefit from an alternative level of care or other waiver
programs.
Provides all information collected to the responsible RN, who
verifies and interprets the information, conducts additional
assessments, as necessary, and develops, monitors, evaluates, and
revises the member's care plan to meet the member's needs.
Participates in coordinating care for members with chronic
illnesses, co-morbidities, and/or disabilities as directed by
responsible RN, and in conjunction with the RN, member and the
health care team, to ensure cost effective and efficient
utilization of health benefits.
Decision making skills will be based upon the current needs of the
member and require an understanding of disease processes and
terminology and the application of clinical guidelines but do not
require nursing judgment.
Minimum Requirements:
Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in
accordance with applicable state law and Nursing Diploma or AS in
Nursing or a related field and minimum of 2 years of experience in
working with individuals with chronic illnesses, co-morbidities,
and/or disabilities in a Service Coordinator or similar role; or
any combination of education and experience, which would provide an
equivalent background.
Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other
than RN (as allowed by state law) in applicable state(s)
required.
Preferred Skills, Capabilities and Experiences:
MA/MS in Health/Nursing preferred.
May require state-specified certification based on state law and/or
contract.
Experience using multiple screen
Excellent phone skills/etiquette- phone based role.
*** For candidates working in person or remotely in the below
locations , the salary* range for this specific position is $28.38
to $51.09
Locations : California; Colorado; Nevada; New York; Washington
State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such
as, a comprehensive benefits package, incentive and recognition
programs, equity stock purchase and 401k contribution (all benefits
are subject to eligibility requirements). The salary offered for
this specific position is based on a number of legitimate,
non-discriminatory factors set by the company. The company is fully
committed to ensuring equal pay opportunities for equal work
regardless of gender, race, or any other category protected by
federal, state, and local pay equity laws.
Please be advised that Elevance Health only accepts resumes from
agencies that have a signed agreement with Elevance Health.
Accordingly, Elevance Health is not obligated to pay referral fees
to any agency that is not a party to an agreement with Elevance
Health. Thus, any unsolicited resumes, including those submitted to
hiring managers, are deemed to be the property of Elevance
Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives
and communities - and making healthcare simpler. A Fortune 20
company with a longstanding history in the healthcare industry, we
are looking for leaders at all levels of the organization who are
passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
We offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short and long term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy, providing
various levels of flexibility while also ensuring that associates
have opportunities to connect in-person. Unless in a designated
virtual-eligible role and specified as primarily virtual by the
hiring manager, associates are required to work at an Elevance
Health location at least once per week, and potentially several
times per week. Specific requirements and expectations for time
onsite will be discussed as part of the hiring process. Candidates
must reside within 50 miles or 1-hour commute each way of a
relevant Elevance Health location.
The health of our associates and communities is a top priority for
Elevance Health. We require all new candidates in certain
patient/member-facing roles to become vaccinated against COVID-19.
If you are not vaccinated, your offer will be rescinded unless you
provide - and Elevance Health approves - a valid religious or
medical explanation as to why you are not able to get vaccinated
that Elevance Health is able to reasonably accommodate. Elevance
Health will also follow all relevant federal, state and local
laws.
Elevance Health has been named as a Fortune Great Place To Work in
2022, has been ranked for five years running as one of the 2023
World's Most Admired Companies by Fortune magazine, and is a
growing Top 20 Fortune 500 Company. To learn more about our company
and apply, please visit us at careers.ElevanceHealth.com. Elevance
Health is an Equal Employment Opportunity employer and all
qualified applicants will receive consideration for employment
without regard to age, citizenship status, color, creed,
disability, ethnicity, genetic information, gender (including
gender identity and gender expression), marital status, national
origin, race, religion, sex, sexual orientation, veteran status or
any other status or condition protected by applicable federal,
state, or local laws. Applicants who require accommodation to
participate in the job application process may contact
ability@icareerhelp.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from
discrimination under Federal law for job applicants and
employees.
EEO Policy Statement
Know Your Rights
Pay Transparency
Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer
(https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us (elevancehealth@icareerhelp.com) or call
1-877-204-7664
Keywords: Elevance Health, Denver , Managed Care Coordinator Clinician - Non RN, Healthcare , Denver, Colorado
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