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.
HealthyBlueCareTogetherCFSP
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 may contact elevancehealthjobssupport@elevancehealth.com for assistance.
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.
