Elevance Health
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.
North Carolina residency is required! LOCATION: This is field position. When you are not in the field, you will work remotely from your home. You must reside within 20 miles of Rutherford County. HOURS: General business hours, Monday through Friday. TRAVEL: Some travel within your assigned area or region is required. The CFSP Care Management Manager (Manager I GBD Special Programs) is responsible for managing and overseeing assigned care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral health, and social services.
For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are: Requires an active and current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina. Requires a MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing. Requires three (3) years of experience providing care management, case management, or care coordination to individuals served by the child welfare system. Preferred Qualifications: Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services. Experience working with Children, Youth, and Families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is very strongly preferred. At least 2 years of management/supervisor experience (with direct reports) is needed for this position. Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.
Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities. Review all Care Plans and ISPs for quality control and provide guidance to care managers on how to address Members’ complex health and social needs. Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs on the CFSP population. Coordinates service delivery to include member assessment of physical and psychological factors. Participates in cross-functional workgroups created to maintain and develop program. Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes. Develops and conducts training programs for staff involved in the program. Extracts and manipulates analytical data to present findings to relevant markets and stakeholders. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
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