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Managed Care Coordinator
Elevance Health. Manage members’ individual service plans within the scope of the NC CFSP Program .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Care Management, including Trauma-Informed Care and coordination of multidisciplinary teams to address the comprehensive needs of individuals within the child welfare system. Proficient in conducting assessments and setting goals with members and their support systems while ensuring effective service utilization.
Highest-signal resume keywords
Care ManagementTrauma-Informed CareMultidisciplinary Team CollaborationAssessment CoordinationChild Welfare System Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementAssessmentGoal SettingCase CoordinationService Planning
Soft Skills
CollaborationCommunicationInterpersonal SkillsProblem-Solving
Industry Keywords
Child WelfareBehavioral HealthPhysical HealthI/DDLTSSCommunity-Based Organizations
About the role
Key responsibilities & impact- Manage members’ individual service plans within the scope of the NC CFSP Program
- Provide integrated whole-person Care Management across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs
- Provide Trauma-Informed Care and coordinate cross-agency support for physical, behavioral, social, educational, and legal needs
- Collaborate with County Child Welfare Workers to align health care needs with permanency planning goals
- Work with multidisciplinary care teams, health professionals, specialty providers, and child welfare stakeholders to coordinate care
- Conduct telephonic or face-to-face assessments using predefined questions
- Identify potential clinical health care needs using predefined tools and coordinate cases with clinical healthcare management and interdisciplinary teams
- Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective service utilization
- Set short- and long-term goals with members, caregivers, families, natural supports, and physicians
- Identify members who would benefit from expanded services
- Travel to client sites, designated locations, worksites, and other locations as necessary
Requirements
What you’ll need- BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background
- Must reside in North Carolina
- BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area
- Two (2) years of experience working directly with individuals served by the child welfare system is preferred
- Field-based work requiring in-person interaction with patients, members, or providers four to five days per week
- Reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
- Colocation may require reporting to an office location 1–3 days per week as needed
- Travel to the worksite and other locations as necessary
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid workforce strategy
- Vaccination-related protections/accommodations as required by law