CFSP Managed Care Coordinator - Rockingham County
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 state law and contract. The role provides integrated, whole-person care management to Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system. Care coordination spans physical and behavioral health, intellectual and developmental disabilities, long-term services and supports, pharmacy, and unmet health-related needs. This is a county field-based position in Rockingham County, based in Wentworth. The coordinator interacts with members, patients, or providers in person four to five days per week, travels to client sites or other designated locations, and may attend office meetings or training. Candidates must live within a reasonable commuting distance of the posting location; candidates must reside in North Carolina. Colocation may require reporting to an office one to three days per week as needed. The coordinator uses trauma-informed practices, recognizing the impact of adverse childhood experiences and coordinating cross-agency support for children’s physical, behavioral, social, educational, and legal needs. The position collaborates with county child welfare workers, caregivers, families, health professionals, specialty providers, and other stakeholders to align health care with permanency planning and support members’ care goals.
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 related community-based organizations, or an equivalent combination of education and experience.
- Must reside in North Carolina.
- Must be able to travel to worksite and other locations as necessary.
Nice To Haves
- BA/BS 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 across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
- Provide trauma-informed care and coordinate 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 a multidisciplinary care team, including primary 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 cases with clinical healthcare 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 with members, caregivers, families, natural supports, and physicians.
- Identify members who may benefit from expanded services.
- Travel to worksites and other locations as necessary.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs, unless covered by a collective bargaining agreement
- Medical benefits
- Dental benefits
- Vision benefits
- Short- and long-term disability benefits
- 401(k) with match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
