CFSP Managed Care Coordinator - Alamance County

CFSP Managed Care Coordinator Location: Alamance County (field‑based; primary field work with occasional office attendance). The role is part of the North Carolina Children and Families Specialty Plan (CFSP) Medicaid program, providing integrated whole‑person care management for Medicaid‑enrolled infants, children, youth, young adults, and families served by the child welfare system. Responsibilities Provide integrated whole‑person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health‑related needs. Offer Trauma‑Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross‑agency care to support children’s diverse needs. Collaborate closely with each Member’s County Child Welfare Worker to align health care needs with permanency planning goals. Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care. Conduct telephonic or face‑to‑face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs. Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support. Oversee non‑clinical needs of members with chronic illnesses, co‑morbidities, or disabilities for cost‑effective and efficient service utilization. Set short‑ and long‑term goals in collaboration with members, caregivers, families, natural supports, and physicians. Identify members who would benefit from expanded services. Qualifications Minimum requirements: BA/BS degree and at least 1 year of experience working directly with people related to the child‑welfare population or related community‑based organizations, or an equivalent combination of education and experience. Preferred skills: Resident of North Carolina; BA/BS degree in health, psychology, sociology, social work, nursing, or another relevant human services area; 2 years of experience working directly with individuals served by the child welfare system; willingness to travel to work sites and other locations as needed; potential colocation (reporting to an office 1–3 days per week). Equal Employment Opportunity Statement 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. #J-18808-Ljbffr The Elevance Health Companies, Inc.