
Job Information
Elevance Health CFSP Statewide System of Care Manager in Durham, North Carolina
LOCATION : This is a field/remote eligible role. North Carolina residency is required.
HOURS : General business hours, Monday through Friday.
TRAVEL : Some travel within the state is required.
The CFSP Statewide System of Care Manager (Manager II GBD Special Programs) is responsible for supporting the development, implementation, and coordination of a comprehensive health care program in which members' needs are identified, including physical health, behavioral health, social services for Foster Care. This individual is responsible for comprehensive planning, implementation, coordination, and training related to the CFSP’s core System of Care functions.
Primary duties may include, but are not limited to:
Oversees a team of six (6) System of Care Outreach Coordinators who support one of the six (6) Medicaid Regions in NC, and support the System of Care Manager with comprehensive planning, implementation, coordination, and training related to the CFSP’s core System of Care functions at the local level.
Directs and oversees program operations in support of corporate and health plan management.
Serve as a conduit for State-level Child Welfare concerns regarding systemic service barriers for Members and coordinate a resolution process
Participates in cross-functional workgroups created to maintain and develop program. Ensure interests of Members are represented on local Community Collaboratives, and Members contribute to the Community Collaborative’s problem-solving function.
Evaluates program operations to improve efficiency of operations, financial return, customer service, and provider engagement.
Develops, communicates, and monitors program schedule, budget, and resources plan.
Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
Hires, trains, coaches, counsels and evaluates performance of direct reports.
For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are :
Requires a MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing.
Requires five (5) years of professional experience working in and across child public service systems (e.g., education, child welfare, Behavioral Health, juvenile justice or early childhood systems).
At least 3 years of management/supervisor experience (with direct reports) is needed for this position.
Preferred Qualifications
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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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