Case Manager LCSW-C

Johns Hopkins Medicine • Hanover, MD

1d • $32 - $53 • Remote

About The Position

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role. Applicants living in MD, VA, DC, PA, DE, or FL will be given first consideration. Medical, Dental, and Vision Insurance. 403B Savings Plan w/employer contribution. Generous Paid Time Off Employee and Dependent Tuition assistance benefits. Health and wellness programs and MORE! Who you are: The LCSW-C (Licensed Clinical Social Worker) Case Manager anticipates and coordinates care / services / health education for targeted member populations with chronic disease conditions or high-cost specialty care. They demonstrate knowledge of complex case management processes and are responsible for ensuring that member goals are achieved within a specified time based upon individual needs, reasonable expectations, with well-documented outcomes

Requirements

• Minimum 3 years of clinical experience.
• Demonstrated clinical experience
• Knowledge of health care and managed care delivey systems
• Insurance benefit structures and related medical/legal issues
• Utilization management and quality improvement processes
• Member satisfaction
• Education- Master’s Degree in Social Work
• Licensure :Current LCSW-C licensure in the state of Maryland
• Certification in case management (CCM) or pursues CCM or similar certification within 2 years of hire date

Nice To Haves

• Managed Care experience preferred

Responsibilities

• Maintains budgeted caseload.
• Identifies and analyzes staff/member/system issues that impact the plan of care
• Identifies and acts upon impending changes in member condition.
• Must be able to maintain accurate documentation that meets regulatory standards, policies and procedures.

Benefits

• Work-life balance - This is a remote role. Applicants living in MD, VA, DC, PA, DE, or FL will be given first consideration.
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Generous Paid Time Off
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees