Clinical Care Advisor - Transition of Care Healthy Blue Care Together CFSP at Elevance Health

North Carolina, United States

Elevance Health Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Medicaid, Child and Family ServicesIndustries

Requirements

  • North Carolina residency required
  • Located within specified DSS Regions (Regions 1-7 counties listed)
  • Ability to travel within assigned DSS Region
  • Field-based role requiring in-person interaction with patients, members, or providers 4-5 days per week
  • Work virtually from home when not in the field
  • Within scope of licensure for case management (telephonically and/or home visits)
  • Reasonable commuting distance from posting location(s), unless accommodation granted

Responsibilities

  • Coordinate operations and workflows related to complex medical case management for CFSP Foster Care
  • Serve as coach
  • Perform case management telephonically and/or by home visits
  • Coordinate comprehensive clinical program to manage continuum of care for youth and families transitioning between high acuity treatment settings
  • Ensure seamless transitions, reduce readmissions, and improve outcomes for youth and families in child welfare system
  • Manage the most complex cases and provide support to Special Programs case managers
  • Engage collaboratively with key stakeholders (families, foster parents, service teams) to craft and sustain individualized treatment plans
  • Facilitate effective transitions of care for children and families moving between treatment settings
  • Work with Care Management teams, Clinical Advisory teams, and treatment providers

Skills

Key technologies and capabilities for this role

Care CoordinationCase ManagementMedicaidBehavioral HealthChild WelfareTransition of CareIntellectual Developmental DisabilitiesLong Term Services and Supports

Questions & Answers

Common questions about this position

Is there a sign-on bonus for this position?

Yes, there is a $2,000 sign-on bonus available for the Clinical Care Advisor role.

What is the work location and travel requirement for this role?

North Carolina residency is required, and the role is statewide field-based in specified DSS Regions. Travel within your assigned DSS Region is required four to five days per week to interact with patients, members, or providers in person, with virtual work from home otherwise.

What are the key requirements for this position?

North Carolina residency is required, along with the ability to travel within an assigned DSS Region. The role involves field-based coordination of care transitions, interacting in person with patients, members, or providers four to five days per week.

What is the company culture or mission for this role?

The role supports a statewide Medicaid Plan partnering with North Carolina DHHS to provide seamless, integrated health care for children and families in the child welfare system, envisioning a North Carolina where all children and families thrive in safe, stable, and nurturing homes.

What makes a strong candidate for this Clinical Care Advisor role?

Strong candidates must be North Carolina residents within the specified DSS Regions and able to travel extensively in the field four to five days per week for in-person interactions. Experience in clinical care coordination, especially transitions of care for vulnerable populations like children in the child welfare system, would be ideal.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees

Benefits

Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.

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