Job Information
Elevance Health Foster Care Case Mgr II (North Region) in RICHMOND, Virginia
Location: Candidate must reside in the state of Virginia and may support the counites that encompass the region in Northern Virginia . While primarily remote, occasional visits to facilities or meeting members face to face in their homes will be required.
Counties may include:
Fairfax
Winchester
Rockingham
Harrisonburg
Culpeper
The Foster Care Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health. Manages a significantly larger and more complex caseload as compared to Special Programs Case Mgr I. Serves as subject matter expert for the department. Primary
Primary duties may include, but are not limited to:
Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during 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, in order to help them function better at home, in the community, and throughout life.
Evaluates health needs and identifies 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 arrangement of follow-up care.
Works on strategic projects related to specialty populations.
Assists with onboarding new associates.
Minimum Requirements:
Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 5 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.
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.
Preferred
Experience working with specialty populations preferred.
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
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.