Managed Care Coordinator - Behavioral Health/Foster Care (BSW, MSW, or QMHP)

Managed Care Coordinator - Behavioral Health/Foster Care (BSW, MSW, or QMHP)The candidate should reside in Shenandoah County, Augusta County, Harrisonburg, VA.Field: 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 overall management of member's individual service plan within the scope of position, as required by applicable state law and contract.How you will make an impact: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.Minimum RequirementsBA/BS degreeMinimum 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:QMHP, MSW or BSW degree preferred.Specific education and years and type of experience may be required based upon state law and contract requirements.Travels to worksite and other locations as necessary.Experience with Foster Care preferredBehavior/Mental Health experience preferredLTSS / DD waiver experience preferred.For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $23.75/hr to $37.50/hr.Locations: VirginiaIn 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.