CFSP Managed Care Coordinator - Wake

CFSP Managed Care Coordinator – Wake County (Field-Based)

We are seeking a CFSP Managed Care Coordinator to work primarily in the field in Wake County, traveling to client sites and providing integrated care management.

• 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.
• Deliver Trauma-Informed Care by recognizing the role of ACEs 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 (e.g., juvenile justice awareness).
• 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.

• BA/BS degree and a minimum of 1 year of experience working directly with people related to the child welfare system or equivalent education and experience.
• Must reside in North Carolina.
• BA/BS degree preferred in health, psychology, sociology, social work, nursing or another relevant human services area.
• Preferred: 2 years of experience working directly with individuals served by the child welfare system.
• Ability to travel to work sites and other locations as necessary and report to an office 1–3 days per week as required.

Elevance Health is an Equal Employment Opportunity employer. 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.