Social Work Case Manager (US)

Elevance Health•Iselin, NJ

12d•Remote

About The Position

This role enables associates to work virtually full-time, except for 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. Must reside in New Jersey. The Social Work Case Manager will be dedicated to the NJ Medicaid Housing program and will be responsible for ensuring coordination of Housing Services with all other services provided to NJ Medicaid members (Core Medicaid, LTSS, and Medicare FIDE). This associate will work with other Wellpoint Housing Specialists to ensure that we have the structure and systems in place to ensure successful provision of services to members in the Medicaid Housing program. Wellpoint NJ will be placing Medicaid members in Medicaid Housing program units according to the Medicaid Housing Program Guidance issued by DMAHS (Division of Medical Assistance and Health Services). Members placed in a Medicaid Housing unit may be eligible for Housing Support Services once they become available.

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 or LCSW (or equivalent) license in the state of New Jersey is required.

Nice To Haves

Knowledge of relevant public and private housing resources and stakeholders, including but not limited to HUD (Housing and Urban Development) subsidized housing, all Department of Community Affairs (DCA), NJ Housing and Mortgage Finance Agency (NJ HMFA) housing program, voucher programs, public housing authorities, realtors, and online housing locator resources preferred.
Some travel will be necessary.
Managed care experience preferred.
Bilingual (Spanish) or multi-language skills preferred.

Responsibilities

Cultivating stakeholder relationship.
Networks with other community resources.
Provides referrals within benefits structure.
Develops and implements a metric system that tracks baseline levels of functioning throughout course of social work services by constructing necessary instruments that focus on identified psychosocial needs.
Monitors and evaluates effectiveness of the social work goals.
Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the members responsiveness to resources rendered.
Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified.
Provides guidance to members seeking alternative solutions to specific social, cultural, or financial problems that impact their ability to manage their healthcare needs.
Assists with evaluating members' strengths related to health and psychosocial self-management, develops strategies to support healthcare needs and implements plans in support of case decisions.
Facilitates and coordinates behavioral health resources as individual member needs are identified.
Participates in NJ state audit activities and management of day-to-day housing activities, such as monitoring and prioritizing social work task-list workflow.
Serves as first line contact for conflict resolution regarding housing.