Licensed Manager I, Care Management
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Asheville • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Managing and overseeing assigned care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral health, and social services.
- 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, 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
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementcase managementcare coordinationtrauma-informed caredata analysistraining program developmentresource utilizationquality controldischarge planningbehavioral health
Soft skills
leadershipcoachingcounselingcommunicationevaluationguidanceorganizational skillscollaborationproblem-solvinginterpersonal skills
Certifications
LCSWLCMHCLMFTRN