Social Work Care Manager, MSW

Elderwood • Monroe County, NY

21h • Hybrid

About The Position

Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager with an MSW to join its growing team. The role partners with a Registered Nurse and serves as a resource for members, obtaining needed medical, social, educational, psychosocial, financial, and other services, whether or not those services are covered by Elderwood IPA. The position includes direct telephonic and in-person engagement with individuals with chronic medical illness or mental health issues and their families, and coordination of care and community resources. The schedule is Monday through Friday, with no regular weekends or overnights; hybrid working options are available. Shared on-call and after-hours coverage is also required.

Requirements

• Master’s degree in social work.
• At least one year of social work experience with at-risk populations in home care, case management, discharge planning, or managed care.
• At least one year of experience working with a frail or elderly population and/or members with chronic illness or behavioral health issues.
• Valid New York State driver’s license, safe driving record, and dependable transportation.
• Must be in good standing with Medicare and Medicaid programs.
• Must be free of communicable disease.

Nice To Haves

• Previous managed care experience within MLTC or working with special needs populations.
• Bilingual skills.

Responsibilities

• Partner with the Registered Nurse and obtain needed medical, social, educational, psychosocial, financial, and other services for members.
• Engage directly by phone and in person with individuals with chronic medical illness or mental health issues and their families.
• Use assessment tools to determine the needs of the member population.
• Connect members with community resources beyond the scope of MLTC services to support social determinants of health.
• Interact with members, families, physicians, and other resources to determine appropriate actions to address or support medical needs.
• Review benefits options, research community resources, coordinate services, train or create behavioral routines, and enable members to participate actively in their own healthcare.
• Document each encounter or routine contact with members, providers, or caregivers in the EMR and report condition changes to the RN Care Manager that may require intervention.
• Participate in Interdisciplinary Team meetings, Disease Management, Utilization Management, and Quality Improvement activities, and prepare and submit activity reports.
• Coach and educate members and caregivers on healthcare-related issues.
• Provide discharge planning and continuous care management across care settings, and coordinate transition planning.
• Participate in shared on-call and after-hours coverage with other Elderwood staff.

Benefits

• Medical, dental, and vision insurance beginning the first day of the month following 60 days of hire.
• 401(k) retirement plan with vested employer match up to 4%.
• Free and convenient parking.
• Hybrid working options.
• Monday–Friday schedule with no regular weekends or overnights.

What This Job Offers

• Job Type: Full-time