CFSP Managed Care Coordinator - Forsyth County

Elevance Health•Greensboro, NC

9d•Onsite

About The Position

The CFSP Managed Care Coordinator manages members’ individual service plans within the scope of the NC Children and Families Specialty Plan (CFSP), as required by applicable state law and contract. The role provides integrated, whole-person care management across physical health, behavioral health, intellectual/developmental disabilities, long-term services and supports, pharmacy, and unmet health-related needs. Coordinators use trauma-informed care and collaborate with county child welfare workers, members, families, caregivers, natural supports, physicians, health care professionals, specialty providers, and other child welfare stakeholders to coordinate services and align health care with permanency planning goals. This is a field-based position in Forsyth County, North Carolina, primarily serving clients in person four to five days per week, with occasional office attendance for meetings or training. Colocation may require reporting to an office one to three days per week as needed. The position requires travel to worksites and other locations, and candidates must reside in North Carolina and be within reasonable commuting distance of the posting location unless an accommodation is granted as required by law.

Requirements

Bachelor’s degree (BA/BS) and at least one year of experience working directly with people related to the specific program population or with other related community-based organizations, or an equivalent combination of education and experience.
Must reside in North Carolina.
Must be within reasonable commuting distance of the posting location unless an accommodation is granted as required by law.

Nice To Haves

Bachelor’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area.
Two years of experience working directly with individuals served by the child welfare system.

Responsibilities

Provide integrated whole-person care management under the CFSP Care Management model across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
Provide trauma-informed care, recognizing the role of adverse childhood experiences and coordinating cross-agency support for members’ physical, behavioral, social, educational, and legal needs.
Collaborate with each member’s County Child Welfare Worker to align health care needs with permanency planning goals.
Work with multidisciplinary care teams, including primary care and behavioral health professionals, specialty providers, and child welfare stakeholders, to coordinate care.
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 and coordinate their cases with clinical health care management and an interdisciplinary team.
Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities to support 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 could benefit from expanded services.
Travel to worksites and other locations as necessary.