Social Work Care Manager, MSW

Elderwood • Monroe County, NY

18h • Hybrid

About The Position

Elderwood Independent Practice Association (IPA) is seeking a Social Work Care Manager with an MSW to support its members. The position partners with a Registered Nurse and helps members obtain needed medical, social, educational, psychosocial, financial, and other services, whether or not those services are covered by Elderwood IPA. The role includes direct telephonic and in-person engagement with individuals with chronic medical illness or mental health issues and their families.

The Care Manager assesses member needs, connects members with community resources, coordinates services, and works with members, families, physicians, and other resources to support appropriate care. The role also involves reviewing benefits, coaching and educating members and caregivers, documenting contacts in the EMR, reporting changes in member conditions to the RN Care Manager, supporting transitions between care settings, and participating in interdisciplinary, disease management, utilization management, and quality improvement activities. Shared on-call and after-hours coverage is 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 the Medicare and Medicaid programs.
• Must be free of communicable disease.

Nice To Haves

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

Responsibilities

• Partner with the Registered Nurse to help members obtain needed medical, social, educational, psychosocial, financial, and other services.
• Engage directly by telephone 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 outside the scope of MLTC services to support social determinants of health.
• Interact with members, families, physicians, and other resources to determine appropriate behavioral actions to address and support medical needs.
• Review benefit options, research community resources, coordinate services, and train or create behavioral routines that enable members to participate actively in their healthcare.
• Document each encounter or routine contact with members, providers, or caregivers in the EMR and report changes in condition 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 coverage beginning on 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.

What This Job Offers

• Job Type: Full-time