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

Elevance Health•Durham, NC

10h•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. These Care Managers serve children and youth with significant medical, behavioral health, placement, and social complexity. This is a field-based role in North Carolina, primarily operating in the field with travel to client sites or designated locations as required and occasional office attendance for meetings or training. Candidates must be within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law. Periodic travel throughout North Carolina is required. The manager oversees risk-managed caseloads, supports effective care coordination and member engagement, provides clinical consultation for complex cases, and maintains documentation and regulatory standards. The role also leads the performance and development of frontline Care Managers through hiring, training, coaching, counseling, and evaluation. Elevance Health describes its work as focused on improving lives and communities and making healthcare simpler. The company offers market-competitive total rewards, including merit increases, paid holidays, paid time off, incentive bonus programs, health and insurance benefits, retirement and stock purchase programs, wellness programs, and financial education resources. Elevance Health operates a hybrid workforce strategy, with associates generally required to work at an Elevance Health location at least once per week unless the hiring manager specifies a primarily virtual role.

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.
Willingness to travel periodically throughout North Carolina.

Nice To Haves

Strong knowledge of service delivery coordination, discharge planning, or behavioral health experience.
LCSW, LCMHC, or LMFT licensure.
Experience coordinating with Medicaid and the North Carolina Foster Care system.
Ability to effectively communicate programs, services, and value to eligible individuals and members.

Responsibilities

Oversee risk-managed Care Manager caseloads and distribute workloads appropriately.
Monitor completion of contractually required face-to-face visits according to 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.