Live Commerce Manager overseeing operations and strategy for livestream and video content in e - commerce. Leading cross - functional teams and ensuring alignment with brand objectives in a dynamic environment.
About the role
- LTSS Service Coordinator responsible for managing member cases and coordinating care plans for Elevance Health. Performing assessments and working with healthcare teams to optimize member health.
Responsibilities
- Responsible for overall management of member's case within the scope of licensure
- Develops, monitors, evaluates, and revises the member's care plan to meet the member's needs
- Responsible for performing telephonic and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs
- Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team
- Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits
- Obtains a thorough and accurate member history to develop an individual care plan
- Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians
- Identifies members that would benefit from an alternative level of care or other waiver programs
- Ensures the member's access to those services
- May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services
- Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management of person-centered care plans
Requirements
- Requires a high school diploma or GED equivalent
- Minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role
- Current, active valid and unrestricted RN license in applicable state(s) required
- BA/BS in Health/Nursing preferred
- Strong preference for case management experience with older adults or individuals with disabilities
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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