Vacancy caducado!
Social Work Case Manager Sr -Richmond VA. PS32302Location: United StatesNewRequisition #: PS32302CareMore is a proud member of the WellPoint family of companies. As a leading healthcare system specializing in providing a complete, pro-active health care experience to Senior Americans, our vision is to significantly improve the lives of Medicare recipients by employing a dedicated staff of professionals who are passionate about changing lives. At CareMore, we are working together to transform health care with trusted and caring solutions.Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. Be More with CareMore.Responsible for performing social work case management services by making integrative psychosocial assessments, developing, implementing, coordinating, monitoring, and evaluating social work goals designed to optimize member's access to social services across the care continuum and ensuring member access to services appropriate to their psychosocial needs.Primary duties may include, but are not limited to:
Conducts psychosocial assessments to identify individual needs and a specific social services/psychiatric needs to address objectives and goals as identified during assessment.
Implements social work goals by advocating for members' needs.
Networks with other community resources.
Provides referrals within benefits structure.
Develops and implements a metric system that tracks baseline levels of functioning throughout course of social work services by constructing necessary instruments that focus on identified psychosocial needs.
Coordinates specific psychosocial resources to meet members' identified needs.
Monitors and evaluates effectiveness of the social work goals.
Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the members' responsiveness to resources rendered.
Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified.
Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs.
Evaluates members' strengths related to health self-management, develops strategies to support healthcare needs and implements plans in support of case decisions.
Facilitates and coordinates behavioral health resources as individual member needs are identified.
Participates in social work case audit activities and assists supervisor with management of day-to-day activities, such as monitoring and prioritizing social work task-list workflow.
Serves as first line contact for conflict resolution.
Develops a medical social work module of training for staff social workers.
Develops training materials, completes quality audits, performs process evaluations, and tests and monitors systems/process enhancements.
Serves as a team lead, manages the most complex cases, assists in policy and procedure development, and leads projects with cross-functional teams or serves as a representative on enterprise initiatives.
5 years of clinical experience
3 years of experience in behavioral health and/or medical social work setting; or any combination of education and experience, which would provide an equivalent background.
Current license as a Clinical Social Worker (LCSW) in applicable state.
Bilingual in another Spanish is a plus.
Vacancy caducado!