Managed Care Coordinator Clinician Non RN
4 weeks ago
Managed Care Coordinator Clinician Non RN
Location:
Remote, within 50 miles of an Elevance location
Shift:
10:30 am - 7 pm CST, with the possibility of a Saturday shift from 8 am - 2 pm CST.
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 members care plan to meet the members 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:
Compact Nursing License is strongly 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 $29.24 to $52.62
Locations:
California; Colorado; Hawaii; 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.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
#J-18808-Ljbffr
-
Lead Clinician RN
1 week ago
Seattle, United States LaserAway Full timeJob DescriptionJob DescriptionJob Title: Lead ClinicianLocation: Seattle, WADepartment: MedicalReporting to: Regional Manager or Medical VP (SVP)Job Summary:The Lead Clinician at LaserAway plays a vital role in ensuring exceptional aesthetic dermatological services within LaserAway clinics. The Lead Clinician works closely with the Location Director, Medical...
-
Care Coordinator RN
2 weeks ago
Seattle, United States FRANCISCAN MEDICAL GROUP Full timeOverview Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan...
-
Care Coordinator RN
6 days ago
Seattle, United States CommonSpirit Health Full timeOverview: Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan...
-
Care Coordinator RN
14 hours ago
Seattle, United States CommonSpirit Health Full timeOverview: Sign on bonus and relocation bonus available for qualified candidates. Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000...
-
Lead Clinician RN
2 days ago
Seattle, United States LaserAway Full timeJob DescriptionJob DescriptionJob Title: Lead ClinicianLocation: Seattle, WADepartment: MedicalReporting to: Regional Manager or Medical VP (SVP)Compensation:Competitive Hourly Rate: $55/hrWeekend Differential: Earn an extra $5/hr for shifts on Saturdays and SundaysAttractive Bonuses: Rewarding performance-based incentivesComprehensive Benefits Package:...
-
RN MDS Coordinator
1 week ago
Seattle, United States Ballard Center Full timeRN MDS CoordinatorMDS Coordinator - RN (Registered Nurse) - (Clinical Case Manager) is needed at Ballard Center to manage the RAI Process Assessments. We offer a great and rewarding career with our seasoned team of professionals.$9000 Hiring Bonus - Great Wage and Benefit Package, Experience and license based $52-$60Skills, Abilities, and ResponsibilitiesThe...
-
RN MDS Coordinator
1 day ago
Seattle, United States Ballard Center Full timeRN MDS CoordinatorMDS Coordinator - RN (Registered Nurse) - (Clinical Case Manager) is needed at Ballard Center to manage the RAI Process Assessments. We offer a great and rewarding career with our seasoned team of professionals.$9000 Hiring Bonus - Great Wage and Benefit Package, Experience and license based $52-$60Skills, Abilities, and ResponsibilitiesThe...
-
Seattle, United States Community Health Plan of Washington Full timeThis position is available fully remote from either Washington, Oregon or Idaho. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other...
-
Seattle, United States Community Health Plan of Washington Full timeThis position is available fully remote from either Washington, Oregon or Idaho. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other...
-
RN Care Manager
1 day ago
Seattle, United States Unavailable Full timeOverview Sign on bonus available!!! Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated...
-
Mental Health Clinician
1 week ago
Seattle, United States Crisis Connections Full timeJob DescriptionJob Description:Description: Position Title: Crisis Services Clinician Reports to: Director of Clinical Services Type: Part-Time positions available Location: Seattle, WA, In-person role Payrate: $35.45/hr, and $4/hr shift differential for graveyard shift Union Representation: Represented by OPEIU Schedule: Saturday & Sunday: 8am-4pm or...
-
Mental Health Clinician
2 days ago
Seattle, United States Crisis Connections Full timeJob DescriptionJob Description:Description: Position Title: Crisis Services Clinician Reports to: Director of Clinical Services Type: Part-Time positions available Location: Seattle, WA, In-person role Payrate: $35.45/hr, and $4/hr shift differential for graveyard shift Union Representation: Represented by OPEIU Schedule: Saturday & Sunday: 8am-4pm or...
-
Mental Health Clinician
2 weeks ago
Seattle, United States Crisis Connections Full timePosition Title: Crisis Services Clinician Reports to: Director of Clinical Services Type: Part-Time positions available Location: Seattle, WA, In-person role Payrate: $35.45/hr, and $4/hr shift differential for graveyard shift Union Representation: Represented by OPEIU Schedule: Saturday & Sunday: 8am-4pm or On-call on Day shift: 8am-4pm Weekend...
-
Mental Health Clinician
2 days ago
Seattle, United States Crisis Connections Full timePosition Title: Crisis Services Clinician Reports to: Director of Clinical Services Type: Part-Time positions available Location: Seattle, WA, In-person role Payrate: $35.45/hr, and $4/hr shift differential for graveyard shift Union Representation: Represented by OPEIU Schedule: Saturday & Sunday: 8am-4pm or On-call on Day shift: 8am-4pm Weekend...
-
Patient Care Coordinator
3 weeks ago
Seattle, United States ALLMED Staffing Full timeLarge managed care company looking to fill a contract Patient Care Coordinator role to rotate between 3 offices in Seattle, WA. Schedule: Monday- Friday 8am-4:30pm Dress Code: Business Casual This position entails front office responsibilities which include: -Answering phone calls -Intake of incoming referrals -EPIC -Faxing -Check-in and Check-out of...
-
Care Coordinator
1 week ago
Seattle, United States Seneca Family of Agencies Full timeOverview: Are you looking to make a difference in the lives of children and their families? We are hiring a Care Coordinator for our Wraparound Intensive Services (WISe) Program to ensure children and families receive culturally responsive mental health services. Now offering $500 sign-on Bonus The Care Coordinator for our WISe Program coordinates services...
-
Mental Health Clinician
1 week ago
Seattle, United States Crisis Connections Full timePosition Title: Crisis Services Clinician Reports to: Director of Clinical Services Type: Full-Time, Non-Exempt. Location: Seattle, WA, In-person role. Payrate: $35.45/hr, and $4/hr shift differential for graveyard shift Union Representation: Represented by OPEIU Crisis Connections provides a variety of telephone-based support services that are free...
-
Mental Health Clinician
1 day ago
Seattle, United States Crisis Connections Full timePosition Title: Crisis Services Clinician Reports to: Director of Clinical Services Type: Full-Time, Non-Exempt. Location: Seattle, WA, In-person role. Payrate: $35.45/hr, and $4/hr shift differential for graveyard shift Union Representation: Represented by OPEIU Crisis Connections provides a variety of telephone-based support services that are free...
-
Seattle, United States CHPW Full timeThis position is available fully remote from either Washington, Oregon or Idaho.Who we areCommunity Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful...
-
Seattle, United States CHPW Full timeThis position is available fully remote from either Washington, Oregon or Idaho.Who we areCommunity Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful...
