Social Work Case Manager

• Master’s degree in Social Work, Psychology, Education, Public Health or a related field with a minimum of three years of experience working with individuals with complex medical, behavioral and psychosocial needs. 

• Current state licensure as a social worker or related field  ​

• Experience in patient education working with individual patients 

• Knowledge of chronic health conditions preferred 

• Must be self -starter willing to proactively seek out and learn about etiology, care and treatment for many health conditions 

• Excellent verbal and written communication skills in both English and Spanish preferred 

• Computer literacy and ability to navigate through computer systems 

• Skilled at deliver presentations 

• Sound assessment and decision-making skills, and highly ethical 

• Excellent critical thinking and organizational skills, with attention to detail 

• Excellent time management skills and ability to manage multiple priorities 

• Strong teamwork skills; ability to work collaboratively and consultatively with team members 

• Ability to work independently and manage an assigned caseload 

Member Support and Education  

• Outreaches to assess member’s social, emotional, environmental, financial and support needs which are impacting health outcomes 

• Provides or arranges for resources necessary to meet members’ psychosocial needs 

• Effectively utilizes methods and models of social work intervention to engage members in care management 

• Provides ongoing health coaching and support, self-management education, condition-specific education, care coordination, and resources and materials 

• Assists members when necessary, in placing calls, completing applications, and advocating for available supports/services 

• Assists members and providers with transition of care, referral management, care coordination, and benefit management 

• Links members to appropriate community resources for health and health-related services consistent with regulatory, contractual, and corporate requirements 

• Researches and shares community resources with members and the case management team 

• Promotes and encourages member collaboration with the primary care provider, other health care providers and social service agencies 

• Facilitates interdisciplinary consultation on members’ behalf through participation in rounds, team meetings and clinical reviews 

• Conducts face-to -face visits with selected members as appropriate 

• Completes documentation in the medical management information system in a timely manner and in keeping with internal policy and accreditation standards 

• Conducts assessments via phone and develop a service plan which outlines clear goals, time frames and responsibilities 

• Adheres to departmentally established productivity standards 

• Maintains HIPAA standards and confidentiality of protected health information 

• Adheres to departmental/organizational policies and procedures 

• Understands the concepts, features, benefits, disclosures and provisions of government health insurance programs 

Internal Customer Support and Education  

• Works collaboratively and cohesively with all members of the CSI Team in order to coordinate a continuum of care for members consistent with the members’ health care goals and needs 

• Facilitates member communication with internal partners such Member Services 

• Provides support for BH UM responsibilities as needed