Care Coordination Specialist

3 days ago

Topeka, Kansas, United States Elevance Health Full time
Job Summary:

As a Care Coordination Specialist at Elevance Health, you will play a vital role in ensuring that our members receive the best possible care. Your primary responsibility will be to coordinate follow-up care plan needs for members by scheduling appointments or enrolling them in programs. You will also assess member compliance with medical treatment plans via telephone or through on-site visits, identify barriers to plan compliance, and coordinate resolutions. Additionally, you will identify opportunities that impact quality goals and recommend process improvements. You will work closely with case management and providers to recommend treatment plan modifications and determine the need for additional services. Your goal will be to improve the health of our members and meet quality goals.

Key Responsibilities:
  • Coordinate follow-up care plan needs for members by scheduling appointments or enrolling them in programs.
  • Assess member compliance with medical treatment plans via telephone or through on-site visits.
  • Identify barriers to plan compliance and coordinate resolutions.
  • Identify opportunities that impact quality goals and recommend process improvements.
  • Recommend treatment plan modifications and determine the need for additional services in conjunction with case management and providers.
  • Coordinate identification of and referral to local, state, or federally funded programs.
  • Coach members on ways to reduce health risks.
  • Prepare reports to document case and compliance updates.
  • Establish and maintain relationships with agencies identified in appropriate contracts.
Requirements:
  • Requires a H.S. diploma or equivalent and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills:
  • Behavioral Health experience strongly preferred.
  • Familiar with community resources and Social Determinants of Health (SDOH) strongly preferred.
  • Community health worker, certified nurse assistant, or certified medical assistant and/or BS/BA degree in a related field preferred.
  • Bilingual candidates preferred.
  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Work Environment:

This is a field-based role where the majority of time is working out in the field/community. Candidates must live in Kansas to be considered.

About Us:

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.

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