Ombudsman Liaison
Elevance Health

Job Info

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Description

Location : This position will work a hybrid model (remote and office). Ideal candidates will live in the state of Indiana and reside within 50 miles the PulsePoint on 220 Virgina Ave.

Responsible for coordinating services with Adult Protective Services (APS), Long-Term Care Ombudsman, Member Support Services, and the Department of Health (DOH).

Primary duties may include, but are not limited to:

• Serve as the single point of contact and responsible for coordination with APS, the justice system, Member Support services contractor and the Long-Term Care (LTC) Ombudsman.
• Tracks and coordinates LTC Ombudsman referrals and for Indiana PathWays for Aging members and identifies members who may be at risk of abuse, self-neglect and exploitation and in need of adult protective services (APS_ or the services of the State LTC Ombudsman or DOH.
• Develops and executes statewide ombudsman strategy for the Indiana PathWays for Aging population.
• Improves understanding of local advocacy organizations, philosophies, stakeholders, legislators and providers that interact with or influence members and policy.
• Serves as an informal information resource, communication channel, complaint handler, facilitator, consultant, and practitioner for dispute resolution.
• Supports coordination of members physical, behavioral, and long-term care needs, including coordination and participation in care planning with the LTC Ombudsman as appropriate.
• Seeks fair/equitable solutions to member/provider problems.
• •Provides support during facility closures or transitions and collaborates with the LTC Ombudsman to ensure all member discharge rights are upheld.
• Recommends dispute resolution processes to address and manage conflicts; recommends policy and procedural changes.
• Brings issues to health plan executive leadership to address care delivery improvement efforts and promote effective relationships/communication between members and providers.

Minimum Requirements:

• Requires a BA/BS degree and a minimum of 7 years of related experience; or any combination of education and experience, which would provide an equivalent background.
• Proven track record of developing programs and services for Children at risk or in Foster Care.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and 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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

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