CFSP Managed Care Coordinator - Pitt County

CFSP Managed Care Coordinator

We are currently seeking candidates to serve as CFSP Managed Care Coordinators in Pitt County, North Carolina to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system. This field-based role requires primary operation in the field, traveling to client sites or designated locations, with occasional office attendance for meetings or training.

• Provide integrated whole-person care management under the CFSP Care Management model, coordinating across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
• Offer trauma-informed care by recognizing the role of adverse childhood experiences (ACEs) in the CFSP population and coordinating cross-agency care to support diverse child 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, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
• Oversee non‑clinical needs of members with chronic illnesses, comorbidities, 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.

• BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community‑based organizations, or equivalent education and experience.
• Must reside in North Carolina.

• BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area.
• Two (2) years of experience working directly with individuals served by the child welfare system.
• Colocation may be required, with reporting to an office location 1–3 days per week as needed.

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, 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.