Field-Based Care Coordinator, Medicaid CFSP

Elevance Health (Anthem); North Carolina; On-site; USD 55,000 - 75,000; Full time

Job summary

Elevance Health in North Carolina seeks a CFSP Managed Care Coordinator to deliver integrated care management for Medicaid-enrolled populations within the CFSP. The role emphasizes field-based engagement with patients, families, and providers across Johnston and Wayne counties, including occasional office meetings.

You will work with a multidisciplinary team to coordinate health care and social supports in a trauma-informed framework.

Qualifications

• Requires BA/BS degree and at least 1 year of relevant experience.
• Must reside in North Carolina; field-based role traveling to sites.
• Colocation may require reporting to the office 1-3 days per week.

Responsibilities

• Provide integrated whole-person Care Management across physical health, behavioral health, I/DD, LTSS, pharmacy and unmet needs.
• Offer Trauma-Informed Care recognizing ACEs and coordinating cross-agency care for children's diverse needs.
• Collaborate with County Child Welfare Workers to align health care needs with permanency goals.
• Work with a multidisciplinary care team to coordinate care and services.
• Conduct telephonic or face-to-face assessments using predefined questions.
• Identify members with potential clinical health needs and coordinate with the care team.
• Oversee non-clinical needs of members with chronic illnesses for cost-effective utilization.
• Set short- and long-term goals with members, caregivers, families, and physicians.
• Identify members who would benefit from expanded services.

Skills

Trauma-Informed Care

Care coordination

Cross-disciplinary teamwork

Communication

Education

BA/BS degree

Job description

Elevance Health in North Carolina seeks a CFSP Managed Care Coordinator to deliver integrated care management for Medicaid-enrolled populations within the CFSP. The role emphasizes field-based engagement with patients, families, and providers across Johnston and Wayne counties, including occasional office meetings.

You will work with a multidisciplinary team to coordinate health care and social supports in a trauma-informed framework.