Care Management Manager, Foster Care (Pitt Co.)

Elevance Health; Greenville (NC); Hybrid; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated CFSP Care Management Manager to oversee care management teams and ensure the delivery of high-quality, trauma-informed care to children and families. This role involves managing resources, reviewing care plans, and participating in cross-functional workgroups to enhance service delivery. With a focus on improving lives and communities, this opportunity offers a hybrid work environment, fostering professional growth while making a meaningful impact in the community. If you are passionate about care management and have a strong background in behavioral health, this position is perfect for you.

Qualifications

• Active LCSW, LCMHC, LPA, LMFT, or RN license in North Carolina.
• 3+ years in care management or case management within child welfare.

Responsibilities

• Manage care managers and ensure adherence to care management model.
• Review care plans for quality control and guide care managers.
• Conduct staff training and analyze data for stakeholder presentations.

Skills

Care Management

Case Management

Behavioral Health

Trauma-Informed Care

Data Analysis

Education

MS/MA in Social Work or Counseling

Degree in Nursing

Job description

Job Description: CFSP Care Management Manager

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, ensuring they receive seamless, integrated, and coordinated healthcare. Within the Children and Families Specialty Plan (CFSP), members will have access to benefits 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. Our vision is for a North Carolina where all children and families thrive in safe, stable, and nurturing homes.

Note: North Carolina residency is required.

Location & Work Environment

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

Hours: General business hours, Monday through Friday.

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

Position Overview

The CFSP Care Management Manager (Manager I GBD Special Programs) is responsible for managing assigned care managers and ensuring fidelity to the CFSP Care Management model, including physical health, behavioral health, and social services.

Primary Responsibilities

1. Manage resource utilization to ensure appropriate care delivery and adequate coverage for all tasks.
2. Review all care plans and ISPs for quality control and guide care managers in addressing members’ complex health and social needs.
3. Ensure care managers provide trauma-informed care, recognizing the impact of ACEs.
4. Coordinate service delivery, including member assessment of physical and psychological factors.
5. Participate in cross-functional workgroups to maintain and develop the program.
6. Evaluate current processes and recommend improvements for efficiency and outcomes.
7. Develop and conduct staff training programs.
8. Analyze data to present findings to stakeholders.
9. Hire, train, coach, evaluate, and manage performance of direct reports.

Minimum Requirements

• Active and current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by North Carolina.
• MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing.
• At least three (3) years of experience in care management, case management, or care coordination within the child welfare system.

Preferred Qualifications

• Knowledge of resources and services for safe community living, including LTSS, behavioral health, and physical health services.
• Experience working with children, youth, and families served by local DSS through foster care and adoptive assistance programs.
• Minimum two (2) years of management/supervisor experience with direct reports.
• Experience in service delivery coordination, discharge planning, or behavioral health in a managed care setting.

Note: We cannot accommodate LCSW-A, LCMHC-A, or associate level licenses.

Additional Information

Elevance Health only accepts resumes from agencies with a signed agreement. Unsolicited resumes are the property of Elevance Health.

About Us: Elevance Health is a Fortune 25 company dedicated to improving lives and communities, creating a culture of growth, and offering competitive benefits.

Work Environment: Hybrid model requiring at least weekly onsite presence, with specific expectations discussed during hiring. Candidates must reside within 50 miles or a 1-hour commute of a relevant location.

All new candidates in certain roles must be vaccinated against COVID-19 and Influenza unless an exemption is provided.

Elevance Health is an Equal Opportunity Employer. Accommodations are available upon request.