Be part of an Extraordinary Team

Job ID: 43612

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) 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?

Responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract; develops, monitors, and revises the member's service plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.

Primary duties may include, but are not limited to:

• Responsible for performing telephonic or face-to-face non-clinical assessments using a tool with pre-defined response options for the identification, evaluation, coordination and management of member's non-clinical long term service and support needs.
• Identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and refers those members' cases to the clinical healthcare management team.
• Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of long term services and supports.
• Obtains a thorough and accurate member history to develop an individual service plan.
• Establishes short and long term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of service or other waiver programs.
• May also serve as mentor or preceptor for new staff, assisting in the formal training of associates and may be involved in process improvement initiatives.

Required

• BA/BS in a health related field preferred;
• 2 years of experience working with a social work agency; or any combination of education and experience, which would provide an equivalent background.
• Travel required.

Additional Details

• Work Hours : Monday through Friday 8:30am to 5pm.
• Works closely with members/family/providers and State representatives as needed.
• This position will be traveling in the field in the area listed primarily in Hillsborough County
• Will include member home visits

BCForward is an Equal Employment Opportunity employer. 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.

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