Care Management Manager

Anticipated End Date:

2025-06-30

Position Title:

Care Management Manager, Foster Care (Mecklenburg Co.)

Job Description:

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.

North Carolina residency is required!

LOCATION: This is field position. When you are not in the field, you will work remotely from your home. You must reside within 20 miles of Mecklenberg County.

HOURS: General business hours, Monday through Friday.

TRAVEL: Some travel within your assigned area or region is required.

The CFSP Care Management Manager (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. 

Preferred Qualifications

• 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.

Job Level:

Manager

Workshift:

1st Shift (United States of America)

Job Family:

BSP > Program/Project

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.