IDD Specialty Care Manager – Lead
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Raleigh • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Coordinate operations and workflows related to Intellectual, Developmental & Disability (IDD) case management activities in support of CFSP Foster Care
- Serve as coach and member of the leadership team
- Perform case management telephonically and/or by home visits within the scope of licensure
- Manage overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health
- Manage the most complex cases and provide support to Special Programs case managers
- Engage collaboratively with families, foster parents, and service teams to craft and sustain individualized treatment plans
- Conduct assessments to identify individual needs and develop comprehensive care plans
- Support member access to appropriate quality and cost effective care and modify plans as needed
- Coordinate with internal and external resources and state agencies to meet identified needs
- Coordinate social determinants of health into care planning
- Provide patient education, medication reconciliation, identification of community resources and assist with arrangement of follow-up care
- Facilitate health rounds with other clinical professionals to ensure whole person health
- Lead and work on specialty projects and initiatives and assist with process improvement activities
- Train and mentor staff, perform case/chart audits and ensure departmental compliance
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
- 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 to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
- North Carolina residency is required
- Travel within your assigned DSS Region is required
- These roles require interacting with patients, members, or providers 10-20% of the time
- Ability to perform case management telephonically and/or by home visits within the scope of licensure
- Must be able to manage the most complex cases and provide support to Special Programs case managers
- Able to train, mentor staff and perform case/chart audits ensuring departmental compliance
- COVID-19 and Influenza vaccination required for certain patient/member-facing roles unless acceptable explanation provided
- Preferred: Experience working with Children, Youth, and Families served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs
- Preferred: Knowledge of LTSS, Behavioral Health, therapeutic, and physical health services and service delivery coordination
- Preferred: Service delivery coordination, discharge planning or behavioral health experience in a managed care setting
- Preferred: Certified Case Manager Certification preferred
- Unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses
Benefits
- $3,500 SIGN ON BONUS
- 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
- Hybrid Workforce Strategy (field-based with virtual work from home when not in the field)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementbehavioral healthsubstance abuse treatmentpatient educationmedication reconciliationcare planningassessmentsprocess improvementdischarge planningservice delivery coordination
Soft skills
leadershipcoachingcollaborationmentoringcommunicationorganizational skillsproblem-solvingtraininginterpersonal skillsadaptability
Certifications
LCSWLMHCLPCLMFTClinical PsychologistCertified Case Manager