Elevance Health

Manager I, Care Management

Elevance Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • North Carolina

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Job Level

Mid-LevelSenior

About the role

  • Manage and oversee assigned care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral health, and social services.
  • Manage 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.
  • Coordinate service delivery to include member assessment of physical and psychological factors.
  • Participate in cross-functional workgroups created to maintain and develop program.
  • Evaluate current processes of Special Program's support functions; recommend changes for increased efficiencies and improved outcomes.
  • Develop and conduct training programs for staff involved in the program.
  • Extract and manipulate analytical data to present findings to relevant markets and stakeholders.
  • Hire, train, coach, counsel, and evaluate performance of direct reports.
  • Travel within Haywood/Jackson/Swain counties; work virtually from home when not in the field.

Requirements

  • NC RESIDENCY IS REQUIRED
  • 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.
  • At least 2 years of management/supervisor experience (with direct reports) is needed for this position.
  • We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.
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