Manager I Care Management (Gaston Co.) Healthy Blue Care Together CFSP

Elevance Health • Gastonia, NC

3d • Hybrid

About The Position

Manager Care Management, Foster Care (Manager I GBD Special Programs) $5,000 SIGN ON BONUS LOCATION : Gaston County, NC. 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. TRAVEL : Travel within the county is required. When you are not in the field, you will work virtually from your home. 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. The Manager Care Management, Foster Care (Manager I GBD Special Programs) is responsible for managing and overseeing assigned care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral health, and social services. Primary duties may include, but are not limited to : Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities. Review all Care Plans and ISPs for quality control and provide guidance to care managers on how to address Members’ complex health and social needs. Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs on the CFSP population. Coordinates service delivery to include member assessment of physical and psychological factors. Participates in cross-functional workgroups created to maintain and develop program. Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes. Develops and conducts training programs for staff involved in the program. Extracts and manipulates analytical data to present findings to relevant markets and stakeholders. Hires, trains, coaches, counsels, and evaluates performance of direct reports. For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are: 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 experience providing care management, case management, or care coordination to individuals served by the child welfare system.

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 experience providing care management, case management, or care coordination to individuals served by the child welfare system.

Nice To Haves

• Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health 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.
• At least 2 years of management/supervisor experience (with direct reports) is needed for this position.
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
• We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.

Responsibilities

• Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities.
• Review all Care Plans and ISPs for quality control and provide guidance to care managers on how to address Members’ complex health and social needs.
• Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs on the CFSP population.
• Coordinates service delivery to include member assessment of physical and psychological factors.
• Participates in cross-functional workgroups created to maintain and develop program.
• Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes.
• Develops and conducts training programs for staff involved in the program.
• Extracts and manipulates analytical data to present findings to relevant markets and stakeholders.
• 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