Managed Care Coordinator (VA Foster Care Program)

Managed Care Coordinator (VA Foster Care Program) Must reside within the locations of Norfolk, Virginia Beach, Chesapeake, Newport News, or Suffolk, VA. Location : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Managed Care Coordinator is responsible for the overall management of a member’s individual service plan within the scope of the position in the VA Foster Care Program, as required by applicable state law and contract. How you will make an impact: Working with children within the Foster Care System Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The process does not involve clinical judgment. Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. Identifies members that would benefit from expanded services. Travels to worksite and other locations as necessary. Minimum Requirements: Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: BA/BS degree field of study in health care related field preferred. Specific education and years and type of experience may be required based upon state law and contract requirements. For MMP, requires Community Health Worker certification to be obtained within one year of employment. QMHP Certification Experience with Foster Care preferred Behavior/Mental Health experience preferred 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. As a company, 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, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact the Elevance Health job support team for assistance: View email address on click.appcast.io. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. #J-18808-Ljbffr