Field-Based CFSP Care Manager - Medicaid Navigator

Elevance Health, Inc.; Whiteville (NC); On-site; USD 55,000 - 75,000; Full time

Job summary

Elevance Health is seeking a CFSP Managed Care Coordinator for field-based work in North Carolina, supporting Medicaid-related services for infants, children, and families. You will coordinate care across physical and behavioral health, I/DD, LTSS, and pharmacy, using trauma-informed approaches and partnering with county welfare staff to align care with permanency goals.

You will conduct assessments by phone or in person, identify members needing expanded services, and work with an

Qualifications

• Requires BA/BS degree and a minimum of 1 year of experience working directly with the program population or related community-based organizations.
• Must reside in North Carolina.
• Two years of experience working directly with individuals served by the child welfare system is preferred.
• Travel to worksite and other locations as necessary.
• BA/BS degree preferred in health, psychology, sociology, social work, nursing or related human services area.

Responsibilities

• Provide integrated whole-person Care Management under the CFSP Care Management model across physical health, behavioral health, I/DD, LTSS, pharmacy and unmet needs.
• Coordinate cross-agency care and recognize ACEs in CFSP population.
• Collaborate with County Child Welfare Worker to align health care with permanency goals.
• Work with a multidisciplinary care team to coordinate care for members.
• Conduct telephonic or face-to-face assessments to identify, evaluate and manage member needs.
• Identify members with potential clinical needs and coordinate with the interdisciplinary team for care coordination.
• Oversee non-clinical needs of members with chronic illnesses or disabilities for cost-effective service utilization.
• Set short- and long-term goals with members, caregivers and physicians.
• Identify members who would benefit from expanded services.

Skills

Care coordination

Trauma-informed care

Interdisciplinary collaboration

Field-based work

Assessment skills

Education

BA/BS degree

Job description

Elevance Health is seeking a CFSP Managed Care Coordinator for field-based work in North Carolina, supporting Medicaid-related services for infants, children, and families. You will coordinate care across physical and behavioral health, I/DD, LTSS, and pharmacy, using trauma-informed approaches and partnering with county welfare staff to align care with permanency goals.

You will conduct assessments by phone or in person, identify members needing expanded services, and work with an