Manager I Care Management (Cumberland Co.) Healthy Blue Care Together CFSP at ELEVANCE HEALTH INC

Morehead City, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Mar, 26

Salary

0.0

Posted On

28 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Management, Case Management, Behavioral Health, Social Services, Trauma-Informed Care, Resource Utilization, Service Delivery Coordination, Discharge Planning, Training Development, Analytical Data Manipulation, Team Management, Performance Evaluation, Child Welfare System, Community Living Resources, Foster Care Programs, Management Experience

Industry

Hospitals and Health Care

Description

Anticipated End Date: 2026-01-28 Position Title: Manager I Care Management (Cumberland Co.) Healthy Blue Care Together CFSP Job Description: #HealthyBlueCareTogetherCFSP 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), and regardless of where a member lives, they will 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. $5,000 SIGN ON BONUS LOCATION: Cumberland County, NC. This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. HOURS: Standard business hours, Monday through Friday. TRAVEL: Travel within the county is required. When you are not in the field, you will work virtually from your home. The Manager Care Management, Foster Care (Manager I GBD Special Programs) is responsible for managing and overseeing assigned care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral health, and social services. Primary duties may include, but are not limited to: Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities. Review all Care Plans and ISPs for quality control and provide guidance to care managers on how to address Members’ complex health and social needs. Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs on the CFSP population. Coordinates service delivery to include member assessment of physical and psychological factors. Participates in cross-functional workgroups created to maintain and develop program. Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes. Develops and conducts training programs for staff involved in the program. Extracts and manipulates analytical data to present findings to relevant markets and stakeholders. Hires, trains, coaches, counsels, and evaluates performance of direct reports. For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are: Requires an active and current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina. Requires a MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing. Requires three (3) years of experience providing care management, case management, or care coordination to individuals served by the child welfare system. Preferred Qualifications Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services. Experience working with Children, Youth, and Families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is very strongly preferred. At least 2 years of management/supervisor experience (with direct reports) is needed for this position. Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses. #HealthyBlueCareTogetherCFSP Job Level: Manager Workshift: 1st Shift (United States of America) Job Family: BSP > Program/Project 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. 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 and Influenza. 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.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. Please visit the Contract Worker Community Page. Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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Responsibilities

The Manager I Care Management is responsible for managing and overseeing assigned care managers, ensuring fidelity to the CFSP Care Management model. This includes reviewing care plans, coordinating service delivery, and developing training programs for staff.