Special Programs Case Manager I (IDD Clinical Care Advisor)
Elevance Health
- Location
- NC WINSTON SALEM 5650 UNIVERSITY PKWY
- Work model
- On-Site
- Level
- Mid
- H-1B history
- 320 approvals (FY2023)
- Posted
- 1d ago
About this role
Job Description
Special Programs Case Manager I (IDD Clinical Care Advisor) North Carolina residency is required! Location: We are currently seeking people in the following North Carolina DSS counties: Region 1 counties: Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Madison, Polk, Swain, Transylvania, Yancey, Macon, Jackson, Mitchell) Region 2 counties: Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, Wilkes Field: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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 Special Programs Case Manager I (IDD Clinical Care Advisor) is responsible for the Children and Families Specialty Plan integrated physical health and behavioral health care management teams and the development, implementation and coordination of a comprehensive clinical program designed specifically to manage the health and wellness outcomes of youth in foster care and adoption assistance, including Intellectual & Developmental Disabilities (IDD) members with varying degrees of medical and behavioral health complexity and acuity. Manages overall healthcare costs, case management and whole person health. How you will make an impact: Engage collaboratively with key stakeholders, including families, foster parents, and service teams—to craft and sustain individualized treatment plans. 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. Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning. Work closely with various state agencies. 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, 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 better 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. Facilitates health rounds with other clinical centered professionals to ensure whole person health. May lead and work on specialty projects and initiatives. Assists with process improvements activities. Trains and mentors staff. Performs case/chart audits and ensures departmental compliance. Serves as a member of the leadership team.
Minimum requirements
Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and