Overview CFSP Managed Care Coordinator - Region 1 at Carebridge EAP. Sign-on Bonus: $2500.
We are currently seeking individuals in the following North Carolina counties: Buncombe, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mitchell, Polk, Swain, Transylvania, and Yancey. This is a field-based role with travel to client sites or designated locations, and occasional office attendance for meetings or training. Per policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted by law. These roles are statewide field-based and require interaction with patients, members, or providers in person four to five days per week.
The CFSP Managed Care Coordinator is responsible for the overall management of the member’s individual service plan within the scope of the NC CFSP Program, as required by applicable state law and contract. Elevance Health is the parent organization referenced for context within the posting.
How you will make an impact Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination 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 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 healthcare 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 Requires 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 any combination of education and experience which would provide an equivalent background.
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.
Travels to worksite and other locations as necessary.
Please note 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.
Equal Employment Opportunity 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, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.