Manager overseeing coordination of Medicaid program for children and families in North Carolina. Requires RN, LCSW, LCMHC, or LMFT license and relevant experience.
Responsibilities
Responsible for supporting the development, implementation, and coordination of a comprehensive health care program in which members' needs are identified, including physical health, behavioral health, social services for CFSP Foster Care.
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.
Requirements
An active and current license as an RN, LCSW, LCMHC, or LMFT, 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.
Experience in one of the following specialties: Complex Medical or I/DD.
Prior experience in improving equitable access to care, quality of care, well-being, and sustainable health outcomes through prevention focused programming.
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.
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