Managed Care Coordinator Clinician Non RN
Company: Elevance Health
Location: Colorado Springs
Posted on: May 8, 2024
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Job Description:
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.
Keywords: Elevance Health, Pueblo , Managed Care Coordinator Clinician Non RN, Healthcare , Colorado Springs, Colorado
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