Join to apply for the CFSP Managed Care Coordinator- Region 2 role at Carebridge EAP
Sign-on Bonus: $2500
We are currently seeking people in the following counties: Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, and Wilkes. The role is statewide field‑based and requires interaction with patients, members, or providers in person four to five days a week.
Location: This field‑based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. Candidates must be within a reasonable commuting distance from the posting location(s) unless an accommodation is granted as required by law.
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid‑enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), members will have access to the same basic benefits and services, including physical health, behavioral health, pharmacy, intellectual/developmental disability (I/DD) services, long‑term services and supports, unmet health‑related resource needs, and integrated care management.
How you will make an impact 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 adverse childhood experiences (ACEs) and coordinating cross‑agency care to support children’s diverse needs.
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—primary health care and behavioral health professionals, specialty providers, and child welfare system stakeholders—to coordinate care, including juvenile justice awareness.
Conduct telephonic or face‑to‑face assessments to identify, evaluate, coordinate, and manage member program needs.
Identify members with potential clinical health care needs and coordinate their cases with clinical health care management and an interdisciplinary team for support.
Oversee non‑clinical needs of members with chronic illnesses, comorbidities, or disabilities for cost‑effective and efficient service utilization.
Set short‑ and long‑term goals 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 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.