CFSP Licensed Manager II, Complex Medical/IDD

Elevance Health • Durham, NC

2d • Hybrid

About The Position

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 North Carolina residency is required! LOCATION : This is a field-based position and North Carolina residency is required. You will work virtually from your home when not in the field. HOURS : Standard business hours, Monday through Friday. TRAVEL : Travel is estimated at 15-20% with periodic overnight travel possible. 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. Responsible for supporting the development, implementation, and coordination of a comprehensive health care program in which members' needs are identified, including physical health, behavioral health, social services for CFSP Foster Care. Within the Foster Care program, may oversee one of the following areas: Complex Medical and/or I/DD.

Requirements

• An active and current license as an RN, LCSW, LCMHC, or LMFT, issued by the state of North Carolina.
• MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing.
• A minimum of 5 years of experience working with children, youth and families served by the child welfare system and/or familiarity with Systems of Care and the State agencies that are involved with their care.
• A minimum of 3 years management experience of clinical staff serving the children and youth involved with Juvenile Justice and Social Services.
• North Carolina residency is required!
• We are unable to accept an associate level license such as LCSW-A, LCMHC-A, etc.

Nice To Haves

• Experience in one of the following specialties: Complex Medical or I/DD.
• Prior experience in improving equitable access to care, quality of care, well-being, and sustainable health outcomes through prevention focused programing.
• Knowledge of regulatory requirements related to child welfare and health care services.
• Excellent organizational and leadership skills, along with the ability to develop a team of licensed clinicians.

Responsibilities

• Directs and oversees program operations in support of corporate and health plan management.
• Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
• Participates in cross-functional workgroups created to maintain and develop program.
• Evaluates program operations to improve efficiency of operations, financial return, customer service, and provider engagement.
• Develops, communicates, and monitors program schedule, budget, and resources plan.
• Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
• Hires, trains, coaches, counsels and evaluates performance of direct reports.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees