Manager II GBD Special Programs-Operation Clinical Advisor Teams

Elevance Health; Durham (NC); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Travel opportunities

Job summary

Elevance Health, Inc. seeks a Manager II GBD Special Programs-Care Management Operations in North Carolina.

This field-based role provides leadership and operational oversight for care management teams serving children and youth with CFSP, supporting the State Director of Population Health and Care Management. The role involves supervising staff, ensuring regulatory compliance, coordinating services, and traveling to client sites across the state with some office meetings.

Qualifications

• Requires a BA/BS and minimum of 6 years experience, including prior management experience; or any combination of education and experience.
• Experience leading clinical programs and coordinating care delivery is preferred.
• LCSW/LICSW/LSW or related clinical licenses preferred.

Responsibilities

• Provide accountability for clinical supervision, quality, workload management and regulatory compliance.
• Drive use of HCBS 1915(i) and other HCBS, identify barriers to community-based care.
• Oversee interventions to prevent avoidable admissions and promote community-based services.
• Direct and collaborate with managers to develop and implement program operations.
• Travel across North Carolina to engage with client sites and stakeholders.
• Hire, train, coach, and evaluate performance of direct reports.

Skills

Staff supervision

Care management

Program oversight

Education

BA/BS degree

Job description

Manager II GBD Special Programs-Care Management Operations

Location: North Carolina This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Manager II GBD Special Programs will be responsible for providing dedicated leadership and operational oversight for the care management teams serving children and youth with CFSP, supporting the State Director of Population Health and Care Management.

How Will You Make An Impact

• Provides accountability for clinical supervision, quality, workload management, documentation, regulatory compliance, complex-case escalation, and consistent implementation of these requirements.
• Drive consistent use of 1915(i) and other HCBS, identify barriers to community-based care.
• Oversee interventions intended to prevent avoidable PRTF, institutional, and other facility-based admissions.
• Support community-integration objectives including reducing unnecessary institutionalization and strengthening access to appropriate community-based services.
• Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
• Participates in cross-functional workgroups created to maintain and develop program.
• Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
• Hires, trains, coaches, counsels and evaluates performance of direct reports.

Minimum Requirements

• Requires a BA/BS and minimum of 6 years experience, including prior management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities And Experiences

• Extensive experience leading and developing staff responsible for managing clinical programs strongly preferred. Strong knowledge of service delivery coordination, discharge planning, or behavioral health experience strongly preferred.
• LCSW, LICSW, LSW, MSW strongly preferred. LSW, or LPN/LVN license preferred.
• Experience coordinating with Medicaid and North Carolina Foster Care system
• Must be comfortable effectively communicating programs, services, and value to eligible individuals and members strongly preferred.
• Must be willing to travel periodically throughout the state of North Carolina.