Special Programs Case Manager Lead(1915i/IDD Team)

Elevance Health (Anthem); Durham (NC); Presencial; USD 85.000 - 110.000; Jornada completa

Descripción de la vacante

Elevance Health in North Carolina is seeking a Special Programs Case Manager Lead to coordinate operations and workflows for specialty programs, such as Foster Care. You will coach case managers, perform telephonic and home visits, and manage complex cases to optimize whole-person health across physical and behavioral care.

The role emphasizes leadership within the team, collaboration with state agencies, and ongoing process improvements.

Formación

• MS/MA in social work, counseling, or related behavioral health field or nursing degree with broad clinical experience.
• Active, current and valid license as RN, LCSW, LMHC, LPC, LMFT, or Clinical Psychologist as required by state laws.

Responsabilidades

• Conduct assessments to identify individual needs.
• Develop comprehensive care plans addressing objectives and goals from assessment.
• Coordinate with internal/external resources for integrated whole person care.
• Coordinate social determinants of health into care planning.
• Lead specialty projects and initiatives; train and mentor staff.

Conocimientos

Coaching

Leadership

Field-based work

Educación

MS/MA in social work or related behavioral health field

Nursing degree (RN)

Descripción del empleo

Anticipated End Date: 2027-01-02

Position Title: Special Programs Case Manager Lead(1915i/IDD Team)

Job Description:

Special Programs Case Manager Lead

Location: State of North Carolina

Field : 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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 Special Programs Case Manager Lead is responsible for coordinating operations and workflows related to case management activities in support of specialty programs, such as Foster Care. Serves as coach. Performs case management telephonically and/or by home visits within the scope of licensure. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health. Manages the most complex cases and provides support to Special Programs case managers.

How you will make an impact:

• -Conducts assessments to identify individual needs.
• -Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed.
• -Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.
• -Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning.
• -Works closely with various state agencies.
• -Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.
• -Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function better at home, in the community, and throughout life.
• -Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.
• -Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.
• -Facilitates health rounds with other clinical centered professionals to ensure whole person health.
• -May lead and work on specialty projects and initiatives.
• -Assists with process improvements activities.
• -Trains and mentors staff. Performs case/chart audits and ensures departmental compliance.
• -Serves as a member of the leadership team.

Minimum requirements:

• -Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 7 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.
• -Requires an active, current and valid license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

Preferred Skills, Capabilities and Experiences:

• -Experience working with specialty populations preferred.
• -Clinical experience in social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

Job Level: Non-Management Exempt

Workshift:

Job Family: MED > Licensed/Certified Behavioral Health Role

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