Children and Families Specialty Plan Regional Care Management Director, DSS Region 6/7

Anticipated End Date:

2025-07-31

Position Title:

Children and Families Specialty Plan Regional Care Management Director, DSS Region 6/7

Job Description:

Children and Families Specialty Plan Regional Care Management Director, DSS Region 6/7

$5000 Sign-on Bonus

Location. Must reside in the following NC Counties. Columbus, Brunswick, New Hanover, Bladen, Pender, Cumberland, Sampson, Duplin, Onslow, Lenoir, Jones, Carteret, Craven, Pamlico, Beaufort, Hyde, Dare, Tyrell, Washington, Martin, Bertie, Chowan, Hertford, Chowan, Perquimans, Gates, Pasquotank, Camden, or Currituck.

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.

The Children and Families Specialty Plan is looking to hire a Regional Care Management Director to lead the care management team in Medicaid Region 6/7, in the state of North Carolina. This People Leader will be responsible for the Children and Families Specialty Plan integrated physical health and behavioral health care manager teams and the development, implementation, and coordination of a comprehensive clinical program designed specifically to manage the health and wellness outcomes of youth in foster care and adoption assistance, including highly complex members with varying degrees of medical and behavioral health complexity and acuity.  (The internal company title is Director of Special Programs and Services) 

How you will make an impact:  

• Responsible for providing oversight and leadership of Care Management and Care Coordination programs and program operations within two of the six North Carolina Medicaid Regions of the statewide CFSP Care Management model. This responsibility includes required coordination and colocation with local County DSS agencies within the respective regions.  
• Responsible for the overall oversight of the CFSP Care Management teams within assigned regions. Hires, trains, coaches, counsels, and evaluates performance of direct reports. 
• Sets strategy and executes on performance drivers, including alignment with contractual requirements, addressing goals, gaps in care, transitions, social determinates of health (SDOH), and other strategies that support comprehensive, integrated care planning. 
• Supervise and support Care Management Supervisors to lead, develop, and implement clinical and non-clinical activities that impact health care quality cost and outcomes. 
• Coordinates and collaborates with staff of the North Carolina DHHS and its divisions to ensure clinical programs, policies and programs are aligned with member needs.  
• In collaboration with other CFSP team members, develops metrics for monitoring program objectives, policies, and procedures that support regulatory and accreditation standards compliance; identifies training priorities and needs for staff and collaborates to address those priorities and meet the needs; develops and executes population health strategies; Informs network development and provider needs; identifies needs for community and other support programs, resources and linkages.