IDD Specialty Care Manager, Foster Care (DSS Region I)

Elevance Health • Waynesville, NC

1d • Hybrid

About The Position

#HealthyBlueCareTogetherCFSP IDD Specialty Care Manager, Foster Care (DSS Region I) 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 North Carolina where all children and families thrive in safe, stable, and nurturing homes. North Carolina residency is required! $3,500 SIGN ON BONUS LOCATION: Region 1 counties: Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Madison, Polk, Swain, Transylvania, Yancey, Macon, Jackson, Mitchell. Travel within your assigned county is required. When you are not in the field, you will work virtually from your home. Field: 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. The IDD Specialty Care Manager is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health. Providing services within North Carolina’s foster care system for individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injury (TBI).

Requirements

• 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 clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Must reside within North Carolina.
• Must be a fully licensed clinician (RN or BH).
• Experience in agencies or organizations serving children, youth and family involved in Department of Social Services and Juvenile Justice, with a focus in behavioral health and 1915i service arrays to meet the needs of children with Intellectual or Developmental Disability (I/DD) or Traumatic Brain Injury (TBI).
• Experience working with children, youth and families served by the child welfare system and/or familiarity with the State agencies that are involved with their care (e.g., DSS, Department of Public Instruction, Division of Juvenile Justice and Delinquency Prevention, DMH/DD/SUS).
• Knowledge of resources, support, services and opportunities required for safe community living for populations receiving in-reach and transition 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.
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
• Travels to worksite and other locations as necessary.
• We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.

Responsibilities

• Engage collaboratively with key stakeholders—including families, foster parents, and service teams—to craft and sustain individualized treatment plans.
• Conducts assessments to identify individual needs.
• Develops comprehensive care plan to address objectives and goals as identified during assessment.
• Supports member access to appropriate quality and cost-effective care and modifies plan(s) as needed.
• Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.
• Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning.
• Works closely with various state agencies.
• Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.
• Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function better at home, in the community, and throughout life.
• Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.
• Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.

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: Mid Level
• Number of Employees: 5,001-10,000 employees