CFSP Managed Care Coordinator – Region 1
Join to apply for the CFSP Managed Care Coordinator- Region 1 role at Carebridge EAP .
Sign‑on bonus: $2,500.
We are currently seeking people in the following counties: Buncombe, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mitchell, Polk, Swain, Transylvania, and Yancey.
Location: This role is field‑based, requiring four to five days per week of in‑person interaction with patients, members, or providers on client sites or designated locations, with occasional office attendance for meetings or training. Candidates must be within a reasonable commuting distance unless an accommodation is provided as required by law.
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan for Medicaid‑enrolled infants, children, youth, young adults, and families served by the child welfare system. The CFSP Care Management model provides integrated services—including physical health, behavioral health, pharmacy, intellectual/developmental disabilities, long‑term services and supports, and unmet health‑related needs—to all members regardless of residence.
Responsibilities
Provide integrated whole‑person care management under the CFSP Care Management model, coordinating across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health‑related needs.
Offer trauma‑informed care by recognizing the role of ACEs in the CFSP population and coordinating cross‑agency care to support children’s diverse needs, including physical, behavioral, social, educational, and legal aspects.
Collaborate closely with each Member’s County Child Welfare Worker to align health care needs with permanency planning goals.
Work with a multidisciplinary care team—including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system—to coordinate care (e.g., coordination involving juvenile justice awareness).
Conduct telephonic or face‑to‑face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical health care management and an interdisciplinary team for care coordination support.
Oversee non‑clinical needs of members with chronic illnesses, co‑morbidities, or disabilities for cost‑effective and efficient service utilization.
Set short‑ and long‑term goals in collaboration with members, caregivers, families, natural supports, and physicians.
Identify members who would benefit from expanded services.
Minimum Requirements
BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community‑based organizations; or an equivalent combination of education and experience.
Preferred Skills, Capabilities, and Experiences
Must reside in North Carolina.
BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area.
Two (2) years of experience working directly with individuals served by the child welfare system is preferred.
Travel to work sites and other locations as necessary.
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, marital status or other protected status. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.