Managed Care Coordinator - Behavioral Health​/Foster Care; BSW, MSW, or QMHP

Job Description

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

The candidate must reside in one of the below locations.

Harrisonburg City Rockingham Page County Shenandoah Luray Corridor Augusta County Staunton Waynesboro Charlottesville Albemarle Bedford Botetourt Rockbridge Amherst Nelson Alleghany Covington Peninsula Lynchburg Appomattox Campbell Suffolk Chesapeake Portsmouth Richmond

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.

Is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract.

• 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.

• BA/BS degree
• 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.

• 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 preferred.
• Behavior/Mental Health experience preferred.
• LTSS / 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.

Virginia

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase and 401k contribution
• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources

Non-Management

Non-Exempt

MED >
Care Coord & Care Mgmt (Non-Licensed)

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.

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.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our…