Field-Based Care Programs Manager, Government Division

Elevance Health, Inc.

Asheboro (NC)

Hybrid

USD 90,000 - 120,000

Full time

7 days ago

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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 some office attendance, and entails supervising CFSP care management operations to ensure high-quality, compliant care for children and youth with complex needs.

The role emphasizes coaching frontline managers, coordinating with Medicaid/foster care systems, and maintaining timely assessments and care plans

Qualifications

Requires a BA/BS and minimum of 5 years’ experience in a related field, including minimum of 1 year leadership/management experience; or any combination of education and experience, which would provide an equivalent background.
Experience coordinating with Medicaid and North Carolina Foster Care system 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.