Hybrid Manager I, Care Management – Craven/Beaufort Counties

at Elevance Health

• Job title: Manager I, Care Management – Craven/Beaufort Counties
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, New Bern, United States

About the role

• Manager of Care Management overseeing care managers and ensuring quality healthcare delivery. Collaborating with North Carolina DHHS to support Medicaid-enrolled families in need.

Responsibilities

• Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities.
• Review all Care Plans and ISPs for quality control and provide guidance to care managers on how to address Members’ complex health and social needs.
• Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs on the CFSP population.
• Coordinates service delivery to include member assessment of physical and psychological factors.
• Participates in cross-functional workgroups created to maintain and develop program.
• Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes.
• Develops and conducts training programs for staff involved in the program.
• Extracts and manipulates analytical data to present findings to relevant markets and stakeholders.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Requirements

• Requires an active and current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina.
• Requires a MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing.
• Requires three (3) years of experience providing care management, case management, or care coordination to individuals served by the child welfare system.
• Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services.
• Experience working with Children, Youth, and Families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is very strongly preferred.
• At least 2 years of management/supervisor experience (with direct reports) is needed for this position.
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.

Benefits

• $5,000 SIGN ON BONUS
• Health insurance
• Paid Time Off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources