Licensed Case Manager I, Northern Region VA Foster Care

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.

LOCATION: This is a remote eligible position for the Virginia Foster Care program. If in Virginia, you must reside within the North region. If in MD, DC, or WV, you must be within 50 miles of the Virginia North Region. HOURS: General business hours, Monday through Friday. TRAVEL: Some travel within your assigned region (facility or home visits) is expected. This position is sign-on bonus eligible!! The Special Programs Case Manager I 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.

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.