CFSP Licensed Clinical Support Population Health - Remote Eligible

CFSP Licensed Clinical Support Population Health

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! $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 skill development.

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.

Provides clinical support to the Manager II Population Health and Care Management by performing case management telephonically within the scope of licensure for Children and Family Specialty Plan (CFSP). Manages overall healthcare costs for the foster care program via 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 related to population health.
• Serve as point-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 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.

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, LPA, 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.
• 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 equitable access to care, quality of care, well-being, and sustainable health outcomes through prevention focused programing.
• Knowledge of regulatory requirements related 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 very strongly preferred.

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

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: MED > Licensed/Certified Behavioral Health Role