serp_jobs.filters_job_card.part_time Case manager serp_jobs.h1.location_city

Job Description

HealthyBlueCareTogetherCFSP

We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual / Developmental Disabilities (I / DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.

North Carolina residency is required!

Sign-on Bonus - $2,500

LOCATION : North Carolina DSS Regions 1-5, and 6 / 7. You must live in the region for which you are applying.

HOURS : General business hours, Monday through Friday.

TRAVEL : Up to 20% travel within your assigned region may be required. When you are not in the field, you will work virtually from your home.

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Clinical Care Advisor (Special Programs Case Manager I) is responsible for providing consultation to the case for members with complex SUD / Recovery / BH needs for the Foster Care program. Manages overall healthcare costs for the designated population via integrated (physical health / behavioral health) case management and whole person health.

Primary duties may include, but are not limited to :

May conduct assessments to identify individual needs.

Contributes to the development of the 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.

Evaluates social determinants of health to meet the needs of the member and makes recommendations to inform care planning.

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.

Builds meaningful partnerships with internal care management staff and families / stakeholders as needed.

Addresses cultural and linguistic needs, in order to help members function better at home, in the community, and throughout life.

Evaluates health needs and identifies applicable services and resources in conjunction with the member's care team.

Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.

For the State of North Carolina, in accordance with federal / state law, scope of practice regulations or contract, the requirements are :

An active and current license as an LCSW, LCMHC, LMFT, or RN issued by the state of North Carolina.

MS / MA in social work, counseling, or a related behavioral health field, or a degree in nursing 3 years of clinical experience with substance abuse / substance abuse disorder treatment.

A minimum of 2 years of experience working with children, youth and families served by the child welfare system and / or familiarity with Systems of Care and the State agencies that are involved with their care.

Preferred Qualifications :

LCAS or experience working in substance abuse treatment and recovery is highly preferred.

Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.

Experience providing clinical education to members and stakeholders within the area of substance abuse / recovery.

Knowledge of community-based recovery supports, outside of formal treatment, is very helpful.

We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.

HealthyBlueCareTogetherCFSP

Job Level :

Non-Management Exempt

Workshift :

1st Shift (United States of America)

Job Family : MED >

Licensed / Certified Behavioral Health Role

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.

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