Field-Based Care Manager, Government Programs (CFSP)

Elevance Health, Inc.; Winston-Salem (NC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Elevance Health is seeking a Manager I Government Business Division (GBD) Special Programs Manager, Care Manager in North Carolina. This field-based role requires travel to client sites with occasional office attendance for meetings and training, aligning with our hybrid work policy.

The position leads direct supervision of CFSP Care Managers, oversees risk-based visits, and ensures compliance, documentation quality, and timely care planning for high-risk members.

Qualifications

• Requires BA/BS and at least 5 years of related experience, including 1 year in leadership/management.
• Experience in healthcare or government programs preferred.

Responsibilities

• Oversee risk-managed Care Manager caseloads and distribute workloads appropriately.
• Monitor completion of contractually required face-to-face visits based on member risk level.
• Ensure timely completion of assessments and care plans, effective member engagement, and participation in Child and Family Team meetings.
• Provide clinical consultation and manage escalations for high-risk and complex members.
• Maintain standards for documentation quality, timeliness, and regulatory compliance.
• Coach, support, and manage the performance of frontline Care Managers.
• Identify and address performance gaps early to prevent systemic contractual deficiencies.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Skills

Leadership

People management

Clinical supervision

Care coordination

Education

BA/BS degree

5+ years related experience

Job description

Elevance Health is seeking a Manager I Government Business Division (GBD) Special Programs Manager, Care Manager in North Carolina. This field-based role requires travel to client sites with occasional office attendance for meetings and training, aligning with our hybrid work policy.

The position leads direct supervision of CFSP Care Managers, oversees risk-based visits, and ensures compliance, documentation quality, and timely care planning for high-risk members.