CFSP Manager II, Population Health & Care Management Support
Elevance HealthAbout the role
Anticipated End Date:
2025-08-28Position Title:
CFSP Manager II, Population Health & Care Management SupportJob Description:
#HealthyBlueCareTogetherCFSP
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.
$5,000 SIGN ON BONUS
LOCATION: This is a field-based position. You will work virtually from your home when not in the field.
HOURS: Standard business hours, Monday through Friday.
TRAVEL: Some travel in-state travel is required.
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.
Responsible for supporting the Statewide Director of Population Health and Care Management in development, implementation and oversight of the Comprehensive Prevention & Population Health Management Plan for the Children & Families Specialty Plan. Applies evidence-based, trauma-informed care and early intervention strategies, addressing unmet health-related resource needs, chronic condition prevention and management, reproductive health education and care management, improving health equity, and the holistic integration of physical and behavioral health.
This role is also responsible for supporting oversight of delegated care management activities, including building relationships with partner organization, performance monitoring, and tracking and resolution of performance concerns.
Primary duties may include, but are not limited to:
Directs and oversees program operations in support of corporate and health plan management.
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.
Evaluates program operations to improve efficiency of operations, financial return, customer service, and provider engagement.
Develops, communicates, and monitors program schedule, budget, and resources plan.
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.
For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are:
An active and current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina.
MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing.
A minimum of 5 years of experience working with children, youth and families served by the child welfare system and/or familiarity with Systems of Care and the State agencies that are involved with their care.
A minimum of 3 years management experience of clinical staff serving the children and youth involved with Juvenile Justice and Social Services.
Preferred Qualifications
Prior experience in improving equitable access to care, quality of care, well-being, and sustainable health outcomes through prevention focused programing.
Knowledge of regulatory requirements related to child welfare and health care services.
Excellent organizational and leadership skills, along with the ability to develop a team of licensed clinicians.
We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.<
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