
Managed Care Coordinator Clinician - Non RN
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:
- Act as a liaison between patients, their families, and healthcare professionals to ensure quality care.
- Develop and maintain positive relationships with managed care organizations and Medicare Advantage Plans.
- Make patient care decisions based on advanced knowledge of managed care principles and practices.
- Monitor patient care and progress to ensure that the highest quality of care is provided.
- Provide education to patients and their families regarding managed care plans and services.
- Maintain accurate and up-to-date documentation of patient care.
- Work collaboratively with other members of the healthcare team to ensure that patient needs are met.
- Ensure compliance with all applicable regulations and laws.
- Assist in developing and implementing new managed care policies and procedures.
- Maintain confidentiality of all patient data.
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
Documentation
Consulting
Data Entry
Networking
Communication
Scheduling
Negotiation
Researching
Collaboration
Organization
Coordination
Problem-Solving
Interpersonal
Analyzing
Assessing
Communication
Decision Making
Leadership
Problem Solving
Time management
Interpersonal Skills
creativity
Organizational skills
Teamwork
Adaptability
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.
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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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