Field-Based CFSP Care Coordinator

Elevance Health, Inc.; Winston-Salem (NC); On-site; USD 52,000 - 72,000; Full time

Job summary

Elevance Health, Inc. is seeking a CFSP Managed Care Coordinator in North Carolina.

The role focuses on managing members’ individual service plans within the CFSP program, operating field-based across Buncombe County (Asheville) and surrounding counties. The position emphasizes integrated care management across physical health, behavioral health, I/DD, LTSS, and related services, with assessments conducted by phone or in person and collaboration with county welfare workers to support permanency

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.

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, including physical, behavioral, social, educational, and legal aspects.
• 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, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
• 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 using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
• 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, natural supports, and physicians.
• Identify members who would benefit from expanded services.

Education

BA/BS degree

Job description

Elevance Health, Inc. is seeking a CFSP Managed Care Coordinator in North Carolina.

The role focuses on managing members’ individual service plans within the CFSP program, operating field-based across Buncombe County (Asheville) and surrounding counties. The position emphasizes integrated care management across physical health, behavioral health, I/DD, LTSS, and related services, with assessments conducted by phone or in person and collaboration with county welfare workers to support permanency