Manager I Government Business Division (GBD) Special Programs Manager, Care Manager

Elevance Health•Durham, NC

1d•Hybrid

About The Position

The Manager I Government Business Division (GBD) Special Programs Manager, Care Manager provides direct operational and clinical supervision of Children and Family Specialty Plan (CFSP) Care Managers. The role also oversees emergency services for children and youth with significant medical, behavioral health, placement, and social complexity. It is a field-based role in North Carolina, primarily operating in the field with travel to client sites or designated locations as needed and occasional office attendance for meetings or training. Candidates must live within reasonable commuting distance of the posting location unless an accommodation is granted as required by law. The manager oversees risk-managed caseloads, monitors required member visits and care-management activities, provides consultation and escalation support for complex cases, and ensures documentation and regulatory standards are met. The role also hires, trains, coaches, counsels, and evaluates direct reports, while identifying performance gaps and supporting frontline Care Managers.

Requirements

A BA/BS and at least 5 years of experience in a related field, including at least 1 year of leadership or management experience; alternatively, an equivalent combination of education and experience.
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 served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs.
At least 2 years of management or supervisory experience with direct reports.
Experience in service-delivery coordination, discharge planning, or behavioral health in a managed-care setting.

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 is strongly preferred.
Experience working with children, youth, and families served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is strongly preferred.
At least 2 years of management or supervisory experience with direct reports is strongly preferred.
Service-delivery coordination, discharge planning, or behavioral health experience in a managed-care setting is strongly preferred.

Responsibilities

Oversee risk-managed Care Manager caseloads and distribute workloads appropriately.
Monitor completion of contractually required face-to-face visits based on member risk level.
Ensure timely completion of assessments and care plans, effective member engagement, and participation in Child and Family Team meetings.
Provide clinical consultation and manage escalations for high-risk and complex members.
Maintain standards for documentation quality, timeliness, and regulatory compliance.
Coach, support, and manage the performance of frontline Care Managers.
Identify and address performance gaps early to prevent systemic contractual deficiencies.
Hire, train, coach, counsel, and evaluate the performance of direct reports.
Provide oversight of emergency services for children and youth with significant medical, behavioral health, placement, and social complexity.