Special Programs Case Manager I

Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations.

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.

How you will make an impact:

• 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.

Minimum requirements:

• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 3 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 Skills, Capabilities and Experiences:

• 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 is preferred.

Don't see the position you are looking for? Join our talent community where you'll be updated with the latest news from our team. For a more direct conversation about opportunities at KanCare, or to discuss our business, culture, our team, and beyond, feel free to reach out to me directly at: robin.zimmermann@elevancehealth.com