CFSP Managed Care Coordinator - Columbus & Bladen County
About The Position
The CFSP Managed Care Coordinator manages members’ individual service plans within the scope of the North Carolina Children and Families Specialty Plan (CFSP), as required by applicable state law and contract. The CFSP is a statewide Medicaid plan supporting Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system. It coordinates access to physical health, behavioral health, pharmacy, intellectual and developmental disability services, long-term services and supports, unmet health-related resources, and integrated care management. This is a county field-based role serving Columbus and Bladen Counties, with Whiteville and Elizabethtown listed as locations. Associates primarily work in the field, interacting with patients, members, or providers in person four to five days per week, and may attend occasional office meetings or training. Candidates must live in North Carolina and be within reasonable commuting distance of the posting location unless an accommodation is granted as required by law. The coordinator provides integrated, trauma-informed care management and works with members, families, caregivers, county child welfare workers, healthcare professionals, and other stakeholders to coordinate care and support members’ goals and needs.
Requirements
- Bachelor’s degree (BA/BS) and at least one 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.
- Must reside in North Carolina.
- Must be within reasonable commuting distance of the posting location(s), unless an accommodation is granted as required by law.
- Travel to the worksite and other locations as necessary.
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 across physical health, behavioral health, intellectual and developmental disabilities, long-term services and supports, 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 healthcare needs with permanency planning goals.
- Work with multidisciplinary care teams, including primary care and behavioral health professionals, specialty providers, and child welfare system 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 healthcare needs using predefined tools and coordinate cases with clinical healthcare management and an interdisciplinary team.
- Oversee members’ non-clinical needs when they have chronic illnesses, co-morbidities, or disabilities, supporting 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 may benefit from expanded services.
- Travel to the worksite 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
