Special Programs Case Manager I

Location: The territory for this position is the state of GA. The ideal candidate will live within 50 miles of our Atlanta, GA PulsePoint location listed on the requisition.

The Special Programs Case Manager I is responsible for performing case management telephonically/virtually within the scope of licensure for special programs, such as Adoption Assistance and Foster Care. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole-person health. 

How you will make an impact:

• Conducts assessments to identify individual needs 
• Develops a comprehensive care plan to address objectives and goals as identified during the 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, to help them function better at home, in the community, and throughout life. 
• Evaluates health needs and identify 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 the arrangement of follow-up care.

Minimum Qualifications:

• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and a minimum of 3 years of clinical experience in social work and/or counseling with a broad range of experience with complex psychiatric diagnoses, autism, and substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background
• Current active unrestricted license as an RN, LCSW, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in Georgia is required 
•  LAPC, LAMFT, and LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply 

Preferred Skills, Capabilities, and Experience:

• Experience working with specialty populations – DFCS and adoptive families/children highly preferred abuse and/or medical disorders preferred
• Travel may be required
• Clinical experience in social work and/or counseling with a broad range of complex psychiatric/substance

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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. Unless 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 an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance.