CFSP Foster Care / Adoption Care Manager – Managed Care Coordinator
| Company | Elevance Health |
|---|---|
| Location | Concord, NC, USA, Durham, NC, USA, Lumberton, NC, USA, Advance, NC, USA, Winston-Salem, NC, USA, Charlotte, NC, USA, Greensboro, NC, USA, Fort Bragg, NC, USA, Burlington, NC, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior, Mid Level |
Requirements
- Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background.
Responsibilities
- Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
- Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children’s diverse needs, including physical, behavioral, social, educational, and legal aspects.
- Collaborate closely with each Member’s County Child Welfare Worker to align health care needs with permanency planning goals.
- Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
- Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
- Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
- Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for 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 would benefit from expanded services.
Preferred Qualifications
- Must reside in North Carolina.
- BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
- Two (2) years of experience working directly with individuals served by the child welfare system is preferred.