Social Work Case Manager (LMSW) Maryland Medicaid

Elevance Health•Hanover, MD

2d•$67,284 - $100,926•Remote

About The Position

The role of the Post-acute Discharge Coordination Program aims to enhance post-acute care for members following a hospital stay, focusing on reducing readmissions, decreasing length of stay (LOS), and emergency room visits. The post-acute care coordination staff play a crucial role in ensuring a smooth transition for members moving from hospital to home or other care settings. The Social Work Case Manager is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law.

Requirements

Requires MS (at a minimum) in Social Work and minimum of 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.
Current unrestricted LMSW license in the state of Maryland required.

Nice To Haves

Experience working with the Medicaid population preferred.
Experience in coordinating care for individuals with chronic, complex conditions for discharge planning purposes.
Bilingual or multi-language skills preferred.

Responsibilities

Utilizing existing clinical rounds and Care Management (CM) programs.
Incorporating pharmacy programs and digital solutions to bridge care connections.
Coordinating timely post-discharge follow-up services and Home Health authorizations.
Initiating referrals to address social determinants of health.
Assess both the member's and family caregiver's needs through a comprehensive evaluation to ensure all necessary support and resources are in place.
Develop and coordinate a detailed discharge plan in collaboration with the family and hospital provider team, ensuring continuity of care as the member leaves the hospital.
Work closely with the hospital's care coordinator to facilitate effective communication among all parties involved, including medical staff, family members, and external providers.
Help transition the members to community-based providers and services, ensuring they have access to the appropriate care and support systems post-discharge.
Provide follow-up and support to address any new or changing needs, ensuring that the member's care plan is adaptable and responsive to their evolving situation.