Licensed Master Social Work Case Manager

Arkansas Blue Cross Blue Shield

1d • Hybrid

About The Position

The Licensed Masters Social Work Case Manager will work in the Clinical Services and Population Health area. The LMSW Case Manager is responsible for providing support activities for members. This includes significant coordination with all departments as well as providers and community based organizations to promote effective, efficient care.

Requirements

• Master’s degree in Social Work.
• Licensed Master Social Worker (LMSW) with current active state license in good standing in the state(s) where job duties are performed required.
• Case Management Certification required. If certification is not obtained prior to employment, must test successfully within three (3) years.
• Valid Driver's licenses.
• Minimum two (2) years' clinical practice experience in direct clinical care with patients in a hospital, facility or community-based environment.
• Minimum two (2) years' experience in case management, home health, critical care, social work, discharge planning, or utilization review.
• Professionalism
• Ethical Practice
• Critical Thinking and Professional Judgment
• Embrace Diversity
• Advance human rights and socioeconomic justice
• Excellent verbal and written communication skills
• Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding.
• Ability to make sound judgements and decisions based on facts and guidelines.
• Ability to build collaborative relationships.
• Attention to details.
• Ability to interpret complex documentation.
• Ability to work independently with little supervision.
• Active Listening
• Analytical Problem Solving
• Collaborative Communications
• Critical Thinking
• Cross-Functional Planning
• Data Analysis
• Ethical Standards
• Interpersonal Relationship Management
• Management Techniques
• Microsoft Office
• Oral Communications
• Problem Sensitivity
• Social Awareness
• Support Coordination
• Written Communication

Nice To Haves

• Arkansas Licensed Clinical Social Worker (LCSW) preferred.

Responsibilities

• Case Management: Assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual’s health needs through the use of plan benefits and community resources to facilitate appropriate cost effectiveness and cost containment measures are met.
• Communication: Serves as a liaison facilitating a collaborative process to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.
• Compliance: Practices within the scope of licensure and adheres to policies, procedures, regulations, URAC standards and individual state regulations; making decisions to ensure compliance, appropriate level of care, and patient safety.
• Knowledge: Remain current with up-to-date social work licensing requirements and continuing education.
• Other duties as assigned.
• Serves as a resource for non-clinical staff.
• Travel: Travel to site or home visits may be required. Valid driver’s licenses is required.
• Workflow: Proactively work with referrals from multiple sources to identify appropriate candidates for case management, explaining services ensuring voluntary agreement of services and maintaining a minimum patient caseload in a timely matter.

Benefits

• Tuition reimbursement.
• Club Blue, a free, onsite gym to encourage exercise.
• Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating.
• Incentives for wellness education and exercise

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level