CFSP Clinical Care Advisor, SUD/Recovery

CFSP Clinical Care Advisor, SUD/Recovery

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! Sign-on Bonus - $2,500

LOCATION: North Carolina DSS Regions 1-5, and 6/7. You must live in the region for which you are applying.

HOURS: General business hours, Monday through Friday.

TRAVEL: Up to 20% travel within your assigned region may be required. When you are not in the field, you will work virtually from your home.

The Clinical Care Advisor (Special Program Case Manager I) is responsible for providing consultation to the case for members with complex SUD/Recovery/BH needs for the Foster Care program. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health.

Primary duties may include, but are not limited to:

• May conduct assessments to identify individual needs.
• Contributes to the development of the 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.
• Evaluates social determinants of health to meet the needs of the member and makes recommendations to inform care planning.
• 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.
• Builds meaningful partnerships with internal care management staff and families/stakeholders as needed.
• Addresses cultural and linguistic needs, in order to help members function better at home, in the community, and throughout life.
• Evaluates health needs and identifies applicable services and resources in conjunction with the member's care team.
• 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, 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 3 years of clinical experience with substance abuse/substance abuse disorder treatment.
• A minimum of 2 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:

• LCAS or experience working in substance abuse treatment and recovery is highly preferred.
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
• Experience providing clinical education to members and stakeholders within the area of substance abuse/recovery.
• Knowledge of community-based recovery supports, outside of formal treatment, is very helpful.

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