Licensed Program Case Manager I

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Anticipated End Date:

2025-05-26

Position Title:

Job Description:

Job Description

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 minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
Experience working with specialty populations preferred.
Knowledge of foster care, adoption and juvenile justice systems.
Clinical experience in social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.
For Government business only, LAPC, LAMFT, 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.
Travels to worksite and other locations as necessary.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified Behavioral Health Role

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 and Influenza. 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Average salary estimate

$80000 / YEARLY (est.)

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$70000K

$90000K

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What You Should Know About Licensed Program Case Manager I, elevancehealth

If you're passionate about making a meaningful impact on the lives of individuals and families, Elevance Health is excited to offer the Licensed Program Case Manager I position in Atlanta, GA. As a Special Programs Case Manager I, you will engage with members through telephonic and virtual case management for essential programs like Adoption Assistance and Foster Care. You'll conduct assessments to identify the unique needs of each individual and develop comprehensive care plans that facilitate access to quality healthcare services. This role isn't just about paperwork; it's about building real connections. You'll coordinate with various resources, ensuring a whole-person approach to care that considers both physical and behavioral health. Your work will involve close liaison with state agencies and support from community resources, including social determinants of health. Elevance Health believes in improving lives, so your efforts to assist these designated populations will span beyond medical care—you're helping to foster a supportive environment for their overall well-being. This role requires an MS/MA in social work, counseling, or nursing, alongside three years of clinical experience in social work with diverse psychiatric and substance abuse cases. If you are licensed and ready to make a difference in the community, we encourage you to apply and contribute to a culture that prioritizes personal growth and community health.

Frequently Asked Questions (FAQs) for Licensed Program Case Manager I Role at elevancehealth

What are the responsibilities of a Licensed Program Case Manager I at Elevance Health?

As a Licensed Program Case Manager I at Elevance Health, you will be responsible for performing case management services focused on Adoption Assistance and Foster Care. This role includes conducting assessments, developing care plans, coordinating with various health and community resources, and ensuring members receive appropriate quality care. Additionally, you’ll engage with families to address cultural and social needs, which is vital for providing effective whole-person healthcare.