Social Worker

Summary of Position:

• Provide behavioral health services for the chronically ill or at-risk population in a community-based setting with an overall objective to help member’s live fuller and more meaningful lives.
• Manage members with behavioral health, substance abuse, and/or psychosocial conditions/issues.
• Consult with all members of the team on behavioral health, substance abuse and/or psychosocial issues.
• Facilitate member adoption of strategies to promote physician-recommended behavior change.
• Help members improve health outcomes with feedback from the medical team and Case Management team as needed.

Principal Accountabilities:

• Perform member outreach: virtually, telephonically and in-person; individual needs assessment; education on early warning signs of disease to facilitate prevention/mitigation; and identifying members in potential need of care.
• Provide support services as well as social services supports from other organizations (community based and otherwise).
• Provide assessment, planning, implementation, coordination, monitoring, and evaluation to ensure member receives care management services and support required to meet psychosocial, educational and health care needs.
• Assist members with the coordination of services from various settings as appropriate including supporting discharge from acute setting to home and acute setting to alternate settings.
• Provide care coordination throughout the continuum of care by including the member, member’s family, and providers in the process.
• Support activities of other Care Management team members.
• Participate as part of the Quality and Customer Experience team by providing feedback and ideas to continually improve clinical metrics and other customer experience.
• Other duties/responsibilities as directed, assigned, or required.

Education, Training, Licenses, Certifications:

• Master’s in social work (LMSW or LCSW) required

Relevant Work Experience, Knowledge, Skills, and Abilities:

• 4 – 6+ years’ care management and/or managed care experience (R)
• Knowledge of community resources access (R)
• Prior health plan experience (P)
• Excellent communication skills (verbal, written, presentation, interpersonal) (R)
• Detail oriented, with strong organizational and problem-solving skills (R)
• Strong motivational interviewing skills (R)
• Strong working knowledge of MS Office (word processing, database/spreadsheet, presentation, e-mail) (R)
• Bilingual a plus but not required