Social Work Care Manager

Salary:
$25.20 - $36.75 / Hour

Overview:
Elderwood Independent Practice Association (IPA) is seeking an Social Worker Care Manager - MLTC (Managed Long Term Care) to join our incredible growing team of professionals.

Why should you join Elderwood IPA?

Monday-Friday Schedule w/ no weekends or overnights

Hybrid working options

Medical, Dental & Vision upon 1st of month following 60 days of hire

Up to 140 hours (19 days) of PTO time PLUS six (6) holidays within the 1st year

401(k) retirement plan with vested employer match up to 4%

Substantial Referral program

Join Our Team:
Are you looking to take the next step in your career?

Responsibilities:
In the role of an SW Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are responsible for obtaining needed medical, social, educational, psychosocial, financial, and other services, irrespective of whether the needed services are covered Elderwood Health Plan.

In Addition, assisting the RN Care Manager where necessary with assessing a member's home health and level of care needs, assisting them in accessing necessary covered services, providing referrals and coordinating other medical services in support of their member centric service plan.

Direct telephonic and in-person engagement with individuals with chronic medical illness or mental health issues and their families.

Utilize assessment tools to determine the needs of our member population

Link members to resources in the community outside of the scope of services MLTC provides to support social determinants of health.

Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address/support medical needs.

Reviews benefits options, research community resources, coordinates services, trains/creates behavioral routines and enables members to be active participants in their own healthcare.

Documents in the EMR each encounter or routine contact with members, providers or caregivers and reports changes in conditions to the RN Care Manager, which may require interventions.

Participate in Interdisciplinary Team meetings, Disease Management, Utilization Management, and Quality Improvement activities and prepare/submit activity reports.

Provide coaching and education to members and their caregivers on health care related issues

Provide discharge planning and continuous care management across care settings and coordinate the transition planning

Participate in shared on-call, after-hours coverage along with other Health Plan staff.

From:
USD $25.20/Hr.

Up to:
USD $36.75/Hr.

Qualifications:
Master's degree in social work (Strongly Preferred)

Minimum of one (1) year Social Work experience with at risk populations in home care, case management, discharge planning or managed care.

Minimum of one (1) year experience working with a frail or elderly population and/or members with chronic illness or behavioral health issues.

Previous Managed Care experience, within a MLTC or working with special needs populations preferred.

Must have a valid NYS Driver's license, a safe driving record and dependable transportation

Must be in good standing with the Medicare and Medicaid programs.

Must be free of communicable disease.

Bilingual skills (preferred)

EOE Statement:
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.