Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Responsible for coordinating the delivery of care for members.

JOB DETAILS

• Primary duties may include, but are not limited to:
• Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources.
• Monitors delivery of care across all markets.
• Maintains daily admissions and discharge records.
• Expedites and coordinates appointments for assigned hospitalized patients.
• Authorizes and coordinates services.
• Keeps all providers involved with member's care updated on appointments, condition, and additional clinical support needed.
• Requests and gathers necessary medical records.
• Maintains accurate and complete documentation in Case Management database.

Required Education

• Requires a high school diploma:
• 2 years of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience, which would provide an equivalent background.
• Medical Assistant Certification preferred.

Additional Job Details

• Familiar with Adult Learning Principles.
• Previous experience with managing large audiences via MS Teams platform.
• Can work flexible hours which may include weekends.
• Intermediate use with Microsoft office products.
• Candidate must be a fast learner and quick to learn and apply new skillsets.

Job Location/Work Hours

• 8-5pm EST with flexibility, Remote

BCForward is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

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