Field-Based Care Coordinator for CFSP Medicaid

Elevance Health, Inc.; Winston-Salem (NC); On-site; USD 55,000 - 85,000; Full time

Job summary

Elevance Health, Inc. is seeking a CFSP Managed Care Coordinator for a field-based role in Forsyth County, Winston-Salem. You will manage members?

individual service plans, coordinating across physical health, behavioral health, I/DD, LTSS, and pharmacy, with emphasis on trauma-informed, coordinated care. You will collaborate with county child welfare workers, work with a multidisciplinary team, and conduct telephonic or in-person assessments to identify and address member needs.

Qualifications

• 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.
• 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.
• Colocation is a possibility that could require reporting to office location 1 -3 days per week as needed.
• Travels to worksite and other locations as necessary.

Responsibilities

• 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.
• 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 to coordinate care across primary health care, behavioral health professionals, and stakeholders in the child welfare system.
• 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 and coordinate their cases with clinical health management and an interdisciplinary team.
• 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, and physicians.
• Identify members who would benefit from expanded services.

Skills

Trauma‑Informed Care

Care coordination

Telephonic assessments

Face-to-face assessments

Collaboration with county welfare

Education

BA/BS degree

Job description

Elevance Health, Inc. is seeking a CFSP Managed Care Coordinator for a field-based role in Forsyth County, Winston-Salem. You will manage members?

individual service plans, coordinating across physical health, behavioral health, I/DD, LTSS, and pharmacy, with emphasis on trauma-informed, coordinated care. You will collaborate with county child welfare workers, work with a multidisciplinary team, and conduct telephonic or in-person assessments to identify and address member needs.