This role is eligible for a $10,000 sign on bonus!
Job Summary:
For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve their optimal level of independence and enhance quality of life.
Essential Responsibilities:
- In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment.
- Uses motivational interviewing techniques to identify patients readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources.
- Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives.
- Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards.
- Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community agencies in cases of suspected patient abuse/neglect when identified.
- Coordinates care across the care continuum for members receiving behavioral health and substance abuse services.
- Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
Basic Qualifications:
Experience
- Minimum two (2) years of experience in case management or three (3) years of clinical experience are required.
Education
- Masters degree in social work (MSW) required.
License, Certification, Registration
- This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
- Licensed Clinical Social Worker - Certified (Maryland) within 6 months of hire
- Licensed Clinical Social Worker (Virginia) within 6 months of hire
- Independent Clinical Social Worker License (District of Columbia) within 6 months of hire
Additional Requirements:
- Must have reliable transportation and be able to complete in-person assessments in the home and community. (For anyone hired after April 1, 2025).
- Exceptional oral and written communication skills to interact with diverse members and providers and present care plan.
- Exceptional listening skills to assess needs and identify problems.
- Cultural humility to appreciate unique perspectives, backgrounds, and differences.
Preferred Qualifications:
- Pediatrics: Minimum one (1) year of recent experience with pediatric/adolescent population preferred.
- Perinatal: Minimum one (1) year of recent experience with recent labor and delivery of predominately high-risk obstetrics or perinatal population preferred.
- Renal: Minimum one (1) year of recent experience with nephrology or renal population preferred.
- Case Manager Certificate (CCM) preferred.
- Virginia Medicaid
