Job Overview
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
401(k) Plan
Life insurance
wellness programs
Job Description
Elevance Health is a prominent health company dedicated to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with a longstanding history in the healthcare industry, Elevance Health is committed to leading positive change in health outcomes for its members and the broader communities it serves. The company fosters a culture aimed at strategic advancement and personal and professional growth for its employees. Elevance Health emphasizes core values and behaviors that drive business success and shared achievements, ensuring a supportive environment for all associates.
The CFSP Managed Care Coordinator role is a crucial, field-based position located primarily in Wake County, North Carolina, with opportunities across several surrounding counties including Durham, Chatham, Johnston, and Granville. This position focuses on providing integrated, whole-person care management to Medicaid-enrolled infants, children, youth, young adults, and families who are part of the child welfare system. The coordinator works within the Children and Families Specialty Plan (CFSP) to ensure members access seamless, integrated healthcare services that encompass physical health, behavioral health, pharmacy, intellectual/developmental disabilities, long-term services and supports, and unmet health-related needs.
This role requires the Managed Care Coordinator to frequently travel to client sites or designated locations, offering direct, hands-on engagement by interacting in person four to five days per week. The coordinator operates under North Carolina Medicaid policies and works closely with various county child welfare workers, healthcare providers, and multidisciplinary care teams to align healthcare needs with permanency planning goals for children and families. The CFSP Managed Care Coordinator performs comprehensive assessments, collaborates with clinical and non-clinical professionals, and oversees individual service plans that promote trauma-informed care and address the diverse health, social, educational, and legal needs of the population served.
Elevance Health offers a competitive employment package, inclusive of paid holidays, paid time off, medical, dental, and vision insurance, long and short-term disability benefits, a 401(k) plan with match, stock purchase options, life insurance, wellness programs, and financial education resources. The company operates under a hybrid workforce model requiring associates to attend the office at least once per week unless otherwise specified. Candidates must reside within a reasonable commuting distance or accommodations must be considered as required by law. Elevance Health is committed to diversity, equity, and inclusion, ensuring equal employment opportunities irrespective of age, gender, race, ethnicity, or other protected statuses. Vaccination requirements for COVID-19 and influenza apply to certain patient/member-facing roles to maintain safety within the workforce and communities.
The CFSP Managed Care Coordinator is a role designed to deliver impactful, comprehensive care coordination for vulnerable populations. This position requires a compassionate approach, excellent collaboration skills, and a strong understanding of integrated care models, especially trauma-informed care addressing adverse childhood experiences (ACEs). Co-location and travel flexibility are essential as the role entails close cooperation with county social services and healthcare providers and occasional office presence for training and team collaboration. This career opportunity is ideal for individuals passionate about public health, child welfare, and community-based healthcare coordination aiming to make a meaningful difference in the lives of children and families across North Carolina.
The CFSP Managed Care Coordinator role is a crucial, field-based position located primarily in Wake County, North Carolina, with opportunities across several surrounding counties including Durham, Chatham, Johnston, and Granville. This position focuses on providing integrated, whole-person care management to Medicaid-enrolled infants, children, youth, young adults, and families who are part of the child welfare system. The coordinator works within the Children and Families Specialty Plan (CFSP) to ensure members access seamless, integrated healthcare services that encompass physical health, behavioral health, pharmacy, intellectual/developmental disabilities, long-term services and supports, and unmet health-related needs.
This role requires the Managed Care Coordinator to frequently travel to client sites or designated locations, offering direct, hands-on engagement by interacting in person four to five days per week. The coordinator operates under North Carolina Medicaid policies and works closely with various county child welfare workers, healthcare providers, and multidisciplinary care teams to align healthcare needs with permanency planning goals for children and families. The CFSP Managed Care Coordinator performs comprehensive assessments, collaborates with clinical and non-clinical professionals, and oversees individual service plans that promote trauma-informed care and address the diverse health, social, educational, and legal needs of the population served.
Elevance Health offers a competitive employment package, inclusive of paid holidays, paid time off, medical, dental, and vision insurance, long and short-term disability benefits, a 401(k) plan with match, stock purchase options, life insurance, wellness programs, and financial education resources. The company operates under a hybrid workforce model requiring associates to attend the office at least once per week unless otherwise specified. Candidates must reside within a reasonable commuting distance or accommodations must be considered as required by law. Elevance Health is committed to diversity, equity, and inclusion, ensuring equal employment opportunities irrespective of age, gender, race, ethnicity, or other protected statuses. Vaccination requirements for COVID-19 and influenza apply to certain patient/member-facing roles to maintain safety within the workforce and communities.
The CFSP Managed Care Coordinator is a role designed to deliver impactful, comprehensive care coordination for vulnerable populations. This position requires a compassionate approach, excellent collaboration skills, and a strong understanding of integrated care models, especially trauma-informed care addressing adverse childhood experiences (ACEs). Co-location and travel flexibility are essential as the role entails close cooperation with county social services and healthcare providers and occasional office presence for training and team collaboration. This career opportunity is ideal for individuals passionate about public health, child welfare, and community-based healthcare coordination aiming to make a meaningful difference in the lives of children and families across North Carolina.
Job 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
- must reside in North Carolina
- ability to travel to worksite and other locations as necessary
- available to interact with patients members or providers in person four to five days per week
- willing to report to office location 1-3 days per week as needed
- adherence to vaccination requirements related to COVID-19 and Influenza
- valid driver’s license and reliable transportation
Job Qualifications
- BA/BS degree preferred in a field related to health psychology sociology social work nursing or another relevant human services area
- two years of experience working directly with individuals served by the child welfare system is preferred
- must reside in North Carolina
- ability to collaborate with multidisciplinary teams
- familiarity with trauma-informed care practices
- strong communication skills
- experience in care coordination in community-based settings
Job Duties
- 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
- 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
Job Criteria
Experience
No experience required
Job Location
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