Field-Based Medicaid CFSP Care Coordinator (NC)

Elevance Health, Inc.

Raleigh (NC)

On-site

USD 65,000 - 90,000

Full time

6 days ago

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Job summary

Elevance Health, Inc. is recruiting a CFSP Managed Care Coordinator to support field-based care in Johnston & Wayne County (Clayton/Goldsboro).

You will travel to client sites four to five days weekly, with some office attendance for meetings or training, ensuring flexible, responsive engagement. You will manage members’ individual service plans within NC CFSP, coordinating across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs, while partnering with

Qualifications

Minimum BA/BS degree required.
1 year of experience with the program population or related community-based work.

Responsibilities

Provide integrated whole-person Care Management across CFSP components.
Coordinate cross-agency care to support diverse child needs.
Collaborate with County Child Welfare Workers to align health care with permanency goals.
Work with a multidisciplinary care team to coordinate care.
Conduct telephonic or face-to-face assessments to identify and manage member needs.
Identify members needing expanded services and coordinate follow-up.
Oversee non-clinical needs for members with chronic conditions to optimize resource use.
Set short- and long-term goals in partnership with members and families.