Field-Based Care Management Leader II (Children & Youth)

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

Benefits offered by this job

Merit increases

Paid Time Off

Medical insurance

Dental insurance

Vision insurance

401(k) matching

Stock purchase plan

Life insurance

Wellness programs

Short term disability

Long term disability

Job summary

Elevance Health in North Carolina seeks a Manager II for GBD Special Programs-Operation Clinical Advisor Teams. This field-based role leads care management operations, ensuring supervision, regulatory compliance, and strong program delivery.

The incumbent will drive HCBS program integration, coordinates with Medicaid and NC Foster Care systems, and travels within the state as needed. A BA/BS with 6+ years in management is required.

Qualifications

• Requires a BA/BS and minimum 6 years experience, including prior management experience.
• LCSW, LICSW, LSW, MSW strongly preferred; LSW or LPN/LVN license preferred.
• Experience coordinating with Medicaid and North Carolina Foster Care system.

Responsibilities

• Provides accountability for clinical supervision, quality, workload management, documentation, regulatory compliance, complex-case escalation, and consistent implementation of requirements.
• Drive consistent use of 1915(i) and other HCBS, identify barriers to community-based care.
• Oversee interventions to prevent avoidable admissions to facilities.
• Support community-integration objectives including reducing unnecessary institutionalization and strengthening access to community-based services.
• Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
• Participates in cross-functional workgroups created to maintain and develop program.
• Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
• Hires, trains, coaches, counsels and evaluates performance of direct reports.

Skills

Leadership

Staff development

Clinical program management

Regulatory compliance

Education

BA/BS

Job description

Elevance Health in North Carolina seeks a Manager II for GBD Special Programs-Operation Clinical Advisor Teams. This field-based role leads care management operations, ensuring supervision, regulatory compliance, and strong program delivery.

The incumbent will drive HCBS program integration, coordinates with Medicaid and NC Foster Care systems, and travels within the state as needed. A BA/BS with 6+ years in management is required.