EH
Elevance HealthSenior Portfolio Manager
Portfolio Manager Senior overseeing complex project portfolios, ensuring alignment with budget objectives and operational goals at Elevance Health.
About the role
- Perform primarily face-to-face and telephonic assessments to adult and pediatric members.
- Evaluate member's needs to achieve and/or maintain optimal wellness.
- Employ a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care.
- Ensure members are progressing towards desired outcomes by continuously monitoring care through use of assessment, data, conversations with member, and active care planning.
- Manage a case load and completing assessments with members in their home or community-based setting, as well as telephonically.
- Provide clinical support and guidance, particularly for members with medical complexity.
- Develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively.
- Collaborate with Community Health Workers (CHW), Housing Specialist and other internal and external agencies for health-related social needs (HRSN).
Requirements
- Active Registered Nurse (RN) license in the Commonwealth of Virginia without disciplinary action.
- Two (2) years of prior experience in health care and/or case management.
- One (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions and high social needs).
- Strong advocate and respect for members at all levels of care.
- Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
- Ability to use a variety of electronic information applications/software programs including electronic medical records.
- Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
- Ability to work with minimal supervision within the role and scope.
- Ability to work a full-time schedule.
- This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
- Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
- This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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