Mgr II GBD Special Programs-1915i/IDD Clinical Care Advisor Team

The Elevance Health Companies, Inc.

Winston-Salem (NC)

Hybride

USD 100 000 - 130 000

Plein temps

Il y a 6 jours
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Résumé du poste

Elevance Health is seeking a Manager II GBD Special Programs to provide clinical oversight for 1915(i) HCBS, IDD services and specialized teams serving children and youth with complex conditions. The role combines field-based leadership, program governance, workforce development, and cross-functional collaboration to ensure high‑quality member care across North Carolina.

Responsibilities include supervising clinical teams, coordinating with Medicaid and state systems, monitoring regulatory

Qualifications

  • Requires a BA/BS and minimum of 6 years' experience, including prior management experience.
  • Preferred: LCSW/LICSW/LSW; LPN/LVN license may be preferred.
  • Experience coordinating with Medicaid and North Carolina Foster Care system.

Responsabilités

  • Provide clinical supervision, quality, workload management, and regulatory compliance.
  • Drive consistent use of 1915(i) HCBS and remove barriers to community-based care.
  • Oversee interventions to prevent avoidable facility admissions and support community integration.
  • Hire, train, coach, and evaluate direct reports; manage program operations.

Connaissances

Clinical leadership
Regulatory compliance
Staff development
Travel willingness

Formation

BA/BS degree

Description du poste

Anticipated End Date: 2026-11-06 Position Title: Mgr II GBD Special Programs-1915i/IDD Clinical Care Advisor Team Job Description: Manager II GBD Special Programs-1915i/IDD Clinical Care Advisor Team 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 Mgr II GBD Special Programs will be responsible for providing dedicated leadership and clinical oversight for the specialized teams serving children and youth with Intellectual and Developmental Disabilities (I/DD), complex medical and behavioral health conditions, and 1915(i) Home and Community-Based Service needs.

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.

Job Level: Manager Workshift: Job Family: BSP > Program/Project

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.

We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy.

Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health.

We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza.

If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.

Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.

Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.

Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health.

We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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