Manager Care Coordination

2 months ago

Indianapolis, United States Elevance Health Full time
Anticipated End Date:
2024-10-04

Position Title:
Manager Care Coordination (CM) - Kansas

Job Description:

The Manager Care Coordination (CM) - Kansas is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization, access, care management and/or concurrent review to ensure cost effective utilization of health, mental health, and substance abuse services for one or more member product populations of varying medical complexity ensuring the delivery of essential services that address the total healthcare needs of members. Primary duties may include, but are not limited to:
  • Manages and oversees team responsible in case finding and coordinating cases that involve comorbid conditions.
  • Coordinates service delivery to include member assessment of physical and psychological factors.
  • Partners with providers to establish short and long term goals that meet the member's needs, functional abilities, and referral sources requirements.
  • Identifies members with potential for high risk complications.
  • Reviews benefit systems and cost benefit analysis.
  • Evaluates medical, mental health and substance abuse service for cost containment.
  • Supports program compliance and assists in identifying opportunities to improve the customer service and quality outcomes.
  • Supports quality initiatives and activities, including adherence to National Committee for Quality Assurance (NCQA) standards and HEDIS reporting.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requirements:
  • BA/BS and minimum of 5 years of experience in Health Care Management; or any combination of education and experience, which would provide an equivalent background.
  • Current active unrestricted RN, PA, LSW, LCSW, LPC, LMHC or other accepted license (as allowed by applicable state laws) and any other state or federal requirements that may apply is required.
  • MSN, MPH, MPA, MSW or MBA with Health Care Concentration preferred.
  • Certified Case Manager Certification preferred.


Job Level:
Manager

Workshift:

Job Family:
MED > Licensed/Certified - Other

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.

  • Care Coordination Specialist

    1 week ago

    Indianapolis, Indiana, United States Advantage Senior Care LLC Full time

    Job OverviewBenefits and PerksFlexible Work HoursAttractive SalaryOpportunities for Career GrowthPosition SummaryWe are looking for a Home Care Scheduler to facilitate our operations. This pivotal role involves gathering, organizing, and reporting on scheduling data. By effectively coordinating medical and health services, you will play a crucial part in...

  • Care Coordinator

    3 weeks ago

    Indianapolis, United States Professional Management Enterprises Full time

    Job Title: (RN) Care Coordinator Location: Remote (Indiana) Must be an Indiana Resident Hours: Monday - Friday 8am-5pm Pay: $48/hr weekly pay Travel Requirement: 25% - 50% Job Summary: The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are...

  • Home Care Scheduling Coordinator

    7 days ago

    Indianapolis, Indiana, United States Advantage Senior Care LLC Full time

    Job OverviewBenefits/PerksFlexible Work HoursAttractive SalaryOpportunities for Career GrowthPosition SummaryWe are looking for a Home Care Scheduler to facilitate our operations. This critical role involves gathering, organizing, and analyzing scheduling data to ensure seamless patient care through effective coordination of health services. The successful...

  • Client Care Coordinator

    3 months ago

    Indianapolis, United States CHERISHING LIVES PERSONAL CARE SERV Full time

    Job DescriptionJob DescriptionJob Summary Coordinates employees’ work schedules according to the client’s needs. Responsible for coverage of employee call offs.General AccountabilitiesMeet with potential clients and family membersConduct service inquiries and care consultations as needed.Maintain ongoing communication with potential clients.Assist with...

  • (RN) Care Coordinator

    3 weeks ago

    Indianapolis, United States Professional Management Enterprises Full time

    Job Title: (RN) Care Coordinator Location: Remote (Indiana) **Must be an Indiana Resident Hours: Monday - Friday 8am-5pm Pay: $48hr weekly pay Travel Requirement: 25% - 50% Job Summary: The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and...

  • (RN) Care Coordinator

    3 months ago

    Indianapolis, United States Professional Management Enterprises Full time

    Job Title: (RN) Well Care Coordinator Location: Remote (Indiana) **Must be an Indiana Resident Hours: Monday - Friday 8am-5pm Pay: $48hr weekly pay Travel Requirement: 25% - 50% Job Summary: The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and...

  • (RN) Care Coordinator

    2 months ago

    Indianapolis, United States Professional Management Enterprises Full time

    Job Title: (RN) Well Care Coordinator Location: Remote (Indiana) **Must be an Indiana Resident Hours: Monday - Friday 8am-5pm Pay: $48hr weekly pay Travel Requirement: 25% - 50%Job Summary: The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who...

  • Care Coordinator

    2 months ago

    Indianapolis, United States Resource Hub Full time

    Jumpstart your career at Rehab Medical, one of the nation's leading providers of custom advanced medical equipment and a recent Inc 5000 fastest growing U.S. company award winner! Based in Indianapolis, Indiana our company's mission is to improve and positively impact the lives of the patients we serve, the partners we engage with, and the employees we...

  • Care Coordinator

    3 months ago

    Indianapolis, United States hopebridge Full time

    Job DescriptionJob DescriptionHopebridge was founded in 2005 to serve the growing need for autism treatment services and to improve the lives of affected children and families. We are the largest autism therapy provider in the United States, providing one-on-one, personalized therapy for children and their families touched by behavioral, physical, social,...

  • Patient Care Coordinator

    2 weeks ago

    Indianapolis, Indiana, United States Advanta Biometrics Full time

    Job OverviewWe are seeking a proactive, compassionate, and organized individual to take on the role of Patient Care Coordinator. This position primarily involves the remote communication, engagement, and monitoring of patients facing various health challenges. Your key responsibility will be to understand and track patient symptoms, thereby improving the...

  • Patient Care Coordinator

    2 weeks ago

    Indianapolis, Indiana, United States INTEGRATIVE HEALTH CARE SERVICES OF Full time

    Position OverviewWe are a nurse-owned health care coordination firm dedicated to providing exceptional support to seniors and individuals with disabilities across the state of Indiana. Our organization is recognized for its professionalism, innovation, and commitment to enhancing the quality of life for our clients.Work Environment:Flexible remote work...

  • Patient Care Coordinator

    1 week ago

    Indianapolis, Indiana, United States Caregivers Full time

    Job OverviewPosition Summary: The Care Coordinator plays a pivotal role in managing and enhancing the quality of home health services. This position involves extracting clinical data from OASIS and various medical documentation, ensuring accurate ICD-10 coding for patient records in line with established protocols. The Care Coordinator also recommends...

  • Care Coordinator

    2 months ago

    Indianapolis, United States Resource Hub Full time

    Jumpstart your career at Rehab Medical, one of the nation's leading providers of custom advanced medical equipment and a recent Inc 5000 fastest growing U.S. company award winner! Based in Indianapolis, Indiana our company's mission is to improve and positively impact the lives of the patients we serve, the partners we engage with, and the employees we...

  • Chief Medical Officer

    1 week ago

    Indianapolis, Indiana, United States BRIDGES COORDINATION SERVICES LLP Full time

    Job OverviewBridges Coordination Services LLP is a leading provider in Mental and Behavioral Health, specializing in Telehealth solutions. We are seeking a seasoned Medical Director to join our expanding team and enhance our commitment to delivering exceptional care to individuals, couples, and families.Key Responsibilities:Collaborate with healthcare...

  • Care Transition Coordinator

    3 months ago

    Indianapolis, United States DaMar Staffing Solutions of Indianapolis Full time

    Job DescriptionJob DescriptionCompany Information: A healthcare company with corporate office located in Indianapolis Metro area, serving more than 100 million people at every stage of health.Location: This position is primarily remote. Candidates must have an appropriate home workspace and be available for occasional in-person team meetings.Job Summary: The...

  • Chief Medical Officer

    2 weeks ago

    Indianapolis, Indiana, United States BRIDGES COORDINATION SERVICES LLP Full time

    Position OverviewBridges Coordination Services LLP is a leading platform in Mental and Behavioral Health, specializing in Telehealth solutions. We are seeking a seasoned Medical Director to enhance our commitment to delivering exceptional care to individuals, couples, and families.Key Responsibilities:Collaborate with healthcare providers to enhance our care...

  • Chief Medical Officer

    1 week ago

    Indianapolis, Indiana, United States BRIDGES COORDINATION SERVICES LLP Full time

    Job Description Position OverviewBridges Coordination Services LLP is a premier Telehealth platform specializing in Mental and Behavioral Health. We collaborate with a network of licensed professionals to provide exceptional care to individuals, couples, and families. As we continue to expand, we are seeking a seasoned Chief Medical Officer to lead our...

  • Licensed Clinical Psychologist

    33 minutes ago

    Indianapolis, Indiana, United States BRIDGES COORDINATION SERVICES LLP Full time

    Job Opportunity at Bridges Coordination Services LLPWe are seeking an experienced Licensed Clinical Psychologist to join our team at Bridges Coordination Services LLP, a leading Telehealth platform. As a key member of our healthcare team, you will play a vital role in delivering high-quality care to individuals, couples, and families.Key...

  • Chief Medical Officer

    2 weeks ago

    Indianapolis, Indiana, United States BRIDGES COORDINATION SERVICES LLP Full time

    Job OverviewBridges Coordination Services LLP is a leading provider in Mental and Behavioral Health, utilizing a Telehealth platform to connect with a network of licensed professionals. We are in search of a seasoned Medical Director to join our team and contribute to our mission of delivering exceptional care to individuals, couples, and families.Key...

  • Chief Medical Officer

    2 weeks ago

    Indianapolis, Indiana, United States BRIDGES COORDINATION SERVICES LLP Full time

    Position OverviewBridges Coordination Services LLP is seeking a qualified and experienced Medical Director to lead our clinical initiatives. We are a telehealth platform dedicated to providing exceptional mental and behavioral health services through a network of licensed professionals.Key Responsibilities:Collaborate with healthcare providers to enhance our...