Healthcare Case Manager

4 weeks ago

Kansas City, Missouri, United States Elevance Health Full time
Job Summary

We are seeking a skilled Healthcare Case Manager to join our team at Elevance Health. As a key member of our team, you will be responsible for providing exceptional customer service to our members, responding to inquiries, and resolving issues related to benefits, policies, and procedures.

Key Responsibilities:

  • Respond to telephone, written, and in-person inquiries and initiate steps to assist regarding issues relating to content or interpretation of benefits, policies, and procedures.
  • Provide timely and accurate resolution of inquiries and issues regarding benefits, services, and policies.
  • Support and promote State Sponsored Programs through participation in community events.
  • Represent State Sponsored Programs in community collaborations.
  • Support member access to care through home visits, processing of reports, and distribution of collateral materials.
  • Perform new member orientations.
  • Provide superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
  • Provide superior, professional, and courteous service to customers.

Requirements:

  • Requires HS Diploma or equivalent and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.
  • CHW certificate is highly preferred.
  • Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
  • Previous work experience with Medicare/Medicaid highly preferred.
  • Previous work experience in health insurance or managed care highly preferred.
  • Experience working with local community and/or faith-based organizations preferred.
  • Bilingual preferred.

About Elevance Health

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.

Our Culture

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.

Our Benefits

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.

Hybrid Workforce Strategy

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.

Equal Employment Opportunity

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.

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