CFSP Managed Care Coordinator – Region 1
Carebridge EAP
Sign-on Bonus: $2,500.
We are currently seeking people in the following counties and look forward to speaking with you! (Buncombe, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mitchell, Polk, Swain, Transylvania, and Yancey). Location: Field-based role primarily in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. Candidates not within a reasonable commuting distance will not be considered unless accommodation is required by law.
These roles are statewide field-based and require you to interact with patients, members, or providers in person four to five days per week.
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. Within the Children and Families Specialty Plan (CFSP), members have access to the same basic benefits and services, including physical health, behavioral health, pharmacy, intellectual/developmental disabilities (I/DD) services, long term services and supports, unmet health-related resource needs, and integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.
Responsibilities
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 and coordinating cross-agency care to support children's diverse needs.
Collaborate 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 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
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 a combination of education and experience that provides 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.
Travel to worksite 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 (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.com for assistance.