Elevance Health

Managed Care Coordinator Clinician - Non RN

Elevance Health

St. Louis, MO, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Elevance Health is seeking an experienced and highly motivated Managed Care Coordinator Clinician (Non RN) to join our growing team. In this role, you will serve as a liaison between the patient, families and other healthcare professionals to ensure that our members receive the highest quality of care. The ideal candidate will have a passion for helping others and a commitment to providing outstanding customer service.The essential qualifications for this position include a Master's Degree in Social Work, Counseling, or a related field; at least two years of experience in a clinical setting; excellent interpersonal and communication skills; the ability to work both independently and in a team environment; and advanced knowledge of managed care principles and practices. Experience working with a managed care organization and/or a Medicare Advantage Plan is preferred.If you believe you have what it takes to excel in this role, we encourage you to apply today. We look forward to hearing from you!

Responsibilities:

  1. Act as a liaison between patients, their families, and healthcare professionals to ensure quality care.
  2. Develop and maintain positive relationships with managed care organizations and Medicare Advantage Plans.
  3. Make patient care decisions based on advanced knowledge of managed care principles and practices.
  4. Monitor patient care and progress to ensure that the highest quality of care is provided.
  5. Provide education to patients and their families regarding managed care plans and services.
  6. Maintain accurate and up-to-date documentation of patient care.
  7. Work collaboratively with other members of the healthcare team to ensure that patient needs are met.
  8. Ensure compliance with all applicable regulations and laws.
  9. Assist in developing and implementing new managed care policies and procedures.
  10. Maintain confidentiality of all patient data.
Where is this job?
This job is located at St. Louis, MO, USA
Job Qualifications
  • Excellent Communication And Interpersonal Skills

  • Proficiency In Microsoft Office Suite

  • State

  • Ability To Manage Multiple Tasks And Prioritize Workload

  • Bachelor's Degree In Healthcare Or Related Field

  • At Least Years Of Experience Working In A Managed Care Setting

  • Knowledge Of Applicable Local

  • And Federal Laws Related To Managed Care

  • Certification In Managed Care Coordination

  • Knowledge Of Utilization

Required Skills
  • Documentation

  • Consulting

  • Data Entry

  • Networking

  • Communication

  • Scheduling

  • Negotiation

  • Researching

  • Collaboration

  • Organization

  • Coordination

  • Problem-Solving

  • Interpersonal

  • Analyzing

  • Assessing

Soft Skills
  • Communication

  • Decision Making

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Organizational skills

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Managed Care Coordinator Clinician - Non RN in St. Louis, MO, USA is between $47,500 and $60,000. This range may vary depending on the specific organization and the experience of the candidate.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 2nd, 2023
Apply BeforeJuly 8th, 2026
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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