CFSP Licensed Clinical Support Population Health

#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. reputed company 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-reputed company resource needs, and Integrated care management. We envision a North Carolina where reputed company children and families reputed company in safe, stable, and nurturing homes.

North Carolina Residency is required!

$2,500 SIGN ON BONUS

LOCATION: This is a virtual eligible role and you must reside in North Carolina.

HOURS: General business hours, Monday through Friday.

TRAVEL: Occasional visits to an office may be required for special meetings or training.

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and reputed company development.

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

Provides clinical support to the Manager II Population Health and Care Management by performing case management telephonically reputed company the scope of licensure for Children and Family Specialty Plan (CFSP). Manages overall healthcare costs for the foster care program reputed company integrated (physical health/behavioral health) case management and whole person health.

Primary duties include but are not limited to:

• Assist with interpretation and implementation of state and federal regulations reputed company to population health.

• Serve as reputed company-of-contact for internal and external stakeholders on behalf of the Whole Health Director.

• Conducts assessments to identify individual needs.

• Develops 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 and social determinants of health.

• Works closely with various state agencies.

• Maintains knowledge of the system of care philosophy; a reputed company of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.

• Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function reputed company at home, in the community, and throughout life.

• Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.

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

For the reputed company, in accordance with federal/state law, scope of practice regulations or contract, the requirements are:

• An active and reputed company license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the reputed company.

• MS/MA in social work, counseling, or a reputed company behavioral health field, or a degree in nursing.

• A minimum of 3 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

• Prior experience in improving reputed company access to care, quality of care, well-being, and sustainable health outcomes through prevention focused programing. 

• Knowledge of regulatory requirements reputed company to child welfare and health care 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 reputed company strongly preferred.

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

#HealthyBlueCareTogetherCFSP

Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company.

Who We Are

reputed company 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 reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company 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.

reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company 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 reputed company for reputed company. We require reputed company 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. reputed company will also follow reputed company relevant federal, state and local laws.

reputed company is an Equal Employment Opportunity employer, and reputed company 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 reputed company, 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 [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.