Hybrid IDD Specialty Care Manager – Lead

at Elevance Health

• Job title: IDD Specialty Care Manager – Lead
• Job type: Full Time
• Experience level: Senior
• Salary: Not specified
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, Raleigh, United States

About the role

• IDD Specialty Care Manager Lead coordinating operations for North Carolina's CFSP program. Collaborating with stakeholders to ensure integrated care management for Medicaid-enrolled children and families.

Responsibilities

• Engage collaboratively with key stakeholders, including families, foster parents, and service teams to craft and sustain individualized treatment plans
• Conduct assessments to identify individual needs
• Develop comprehensive care plan to address objectives and goals as identified during assessment
• Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed
• Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care
• Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning
• Works closely with various state agencies
• Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network
• Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs
• Evaluates health needs and identifies applicable services and resources in conjunction with members and their families
• Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care
• Facilitates health rounds with other clinical centered professionals to ensure whole person health
• May lead and work on specialty projects and initiatives
• Assists with process improvements activities
• Trains and mentors staff
• Performs case/chart audits and ensures departmental compliance
• Serves as a member of the leadership team

Requirements

• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing
• Minimum of 7 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
• Requires an active, current and valid license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist
• 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 strongly preferred
• Experience serving the children and youth involved in Foster Care and Social Services
• 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
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred
• Clinical experience in social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred
• Experience working with specialty populations preferred.
• Certified Case Manager Certification preferred
• We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.

Benefits

• $3,500 SIGN ON BONUS
• Paid holidays
• Paid Time Off
• medical, dental, vision benefits
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources