CFSP Managed Care Coordinator - Cleveland County

The Elevance Health Companies, Inc.

Winston-Salem (NC)

On-site

USD 52,000 - 75,000

Full time

6 days ago

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Benefits offered by this job

Health benefits

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Job summary

The Elevance Health CFSP team in North Carolina seeks a CFSP Managed Care Coordinator to oversee members’ individual service plans across physical health, behavioral health, I/DD, LTSS and pharmacy. Travel to client sites will be required.

You will collaborate with County Child Welfare staff, conduct assessments, set goals with families, and coordinate care with a multidisciplinary team to ensure timely, integrated services for children and families in the Medicaid plan.

Qualifications

Requires BA/BS degree and 1 year of direct experience with the relevant program population.
Experience with child welfare systems is preferred.
Ability to work in a field-based role with travel to client sites.

Responsibilities

Provide integrated whole-person Care Management across health domains.
Deliver Trauma-Informed Care by addressing ACEs in CFSP.
Collaborate with County Child Welfare Workers to align needs with permanency goals.
Coordinate with a multidisciplinary care team to manage member plans.
Conduct telephonic or in-person assessments using predefined questions.
Identify members needing clinical care and coordinate with the team.
Oversee non-clinical needs of members with chronic conditions.
Set short- and long-term goals with members, families, and physicians.

Skills

Trauma-Informed Care

Care Coordination

Field-based travel

Education

BA/BS degree

Job description

Position Title

CFSP Managed Care Coordinator

Anticipated End Date

2026-11-07

Location

Field: This field-based role in Cleveland County (Shelby), enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. These roles are county field-based and require you to interact with patients, members, or providers in person four to five days per week. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

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 North Carolina where all children and families thrive in safe, stable, and nurturing homes.

Role Overview

The CFSP Managed Care Coordinator is responsible for the overall management of the members’ individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract.

How you will make an impact

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.

Minimum 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.

Preferred Skills, Capabilities, and Experiences

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.
Travels to worksite and other locations as necessary.

Job Details

Job Level: Non-Management

Non-Exempt

Workshift: Job Family: MED > Care Coord & Care Mgmt (Non-Licensed)

Employer Information

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.

Benefits

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.

Workforce Strategy

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.

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.

Equal Employment Opportunity

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.

Accommodations

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Background Checks

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.

Florida Law Screening

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Other Information

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Additional Statements

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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