Children and Families Specialty Plan Regional Care Management Director, DSS Region 2

Elevance Health; Rutherfordton (NC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Une entreprise de santé de premier plan recherche un directeur de gestion des soins pour superviser les programmes destinés aux enfants et aux familles dans le système Medicaid de Caroline du Nord. Ce poste de direction inclut la gestion d'équipes, le développement de programmes cliniques et la collaboration avec des agences locales. Le candidat idéal aura une solide expérience en gestion clinique et une passion pour améliorer la qualité des soins fournis aux jeunes en difficulté.

Benefits

Incentive bonus programs

401(k) + match

Career growth opportunities

Paid Time Off

Comprehensive medical, dental, and vision plans

Qualifications

• Minimum de 8 ans d'expérience en gestion ou en soins médicaux.
• Expérience antérieure en gestion clinique, qualité ou gestion de l'utilisation.
• Expérience de travail avec les enfants et les familles dans le système de protection de l'enfance.

Responsibilities

• Superviser et diriger les programmes de gestion des soins et de coordination des soins.
• Former, conseiller et évaluer les performances des subordonnés directs.
• Développer des stratégies pour améliorer les résultats de santé des jeunes en soins de protection.

Skills

Leadership

Care Management

Clinical Oversight

Team Management

Education

BA/BS

Job description

Anticipated End Date:

2025-07-30

Position Title:

Children and Families Specialty Plan Regional Care Management Director, DSS Region 2

Job Description:

Children and Families Specialty Plan Regional Care Management Director, DSS Region 2

$5000 Sign-on Bonus

Location. Must reside within the following NC counties: Ashe, Alleghany, Wilkes, Watauga, Avery, Caldwell, Alexander, Iredell, Catawba, Burke, McDowell, Rutherford, Cleveland, Lincoln, or Gaston.

Field: This field-based role 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.

The Children and Families Specialty Plan is looking to hire aRegional Care Management Director to lead the care management team in Medicaid Region 2 in the state of North Carolina. This People Leader will be responsible for the Children and Families Specialty Plan integrated physical health and behavioral health care manager teams and the development, implementation, and coordination of a comprehensive clinical program designed specifically to manage the health and wellness outcomes of youth in foster care and adoption assistance , including highly complex members with varying degrees of medical and behavioral health complexity and acuity. ( The internal company title is Dir ector of Special Programs and S ervices)

How you will make an impact:

• R esponsible for providing oversight and leadership of Care Management and Care Coordination programs and program operations with in N orth Carolina Medicaid Region 2 of the statewide CFSP Care Management model . This responsibility includes required coordination and colocation with local County DSS agencies within the respective regions .
• Responsible for the over all oversight of the CFSP Care Management team s within assigned region s. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Sets strategy and executes on performance drivers, including alignment with contractual requirements, addressing goals, gaps in care, transitions, social determinates of health ( SDOH ) , and other strategies that support comprehensive, integrated care planning.
• Supervise and s upport Care Manage ment Supervisors to l ead , develop , and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
• Coordinates and collaborates with staff of the North Carolina DHHS and its divisions to ensure clinical programs, policies and programs are aligned with member needs.
• In collaboration with other CFSP team members , d evelops metrics for monitoring program objectives , policies, and procedures that support regulatory and accreditation standards compliance ; i dentifies training priorities and needs for staff and collaborates to address those priorities and meet the needs ; d evelops and executes population health strategies ; Informs network development and provider needs ; i dentifies needs for community and other support programs, resources and linkages .
• Identifies and develops opportunities for innovation to increase effectiveness and quality.
• Provide innovative approaches while leading a dedicated team of professionals to work collaboratively to make a difference in the lives of those we serve.
• Travel within your assigned region is estimated at 25% with periodic overnight travel

Minimum Qualifications:

• Requires a BA/BS and minimum of 8 years experience in a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination of education and experience, which would provide an equivalent background.

Preferred skills and experiences:

• F ully licensed clinician (e.g., LCSW, LCMHC, RN, LMFT).
• 5+ years of Care Management/population health experience in a healthcare organization serving Medicaid beneficiaries with a focus on integrated care for children and youth .
• 5+ years of experience working with children, youth and families served by the child welfare system and/or familiarity with the State agencies that are involved with their care (e.g., DSS, Department of Public Instruction, Division of Juvenile Justice and Delinquency Prevention, DMH/DD/SUS).
• Management experience of clinical and non- clinical staff serving the children and youth involved with Juvenile Justice, Social Services , etc.
• Strong leadership and team management skills with a demonstrated ability to develop and implement care management programs.

Job Level:

Director

Workshift:

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.

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 [e-mail] 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.