Social Worker Case Manager - Hybrid (near Johnstown, Pennsylvania)

Acentra Health, LLC•Johnstown, PA

18d•Hybrid

About The Position

Acentra Health is looking for a Social Worker Case Manager - Hybrid (near Johnstown, Pennsylvania) to join our growing team. The Social Worker Case Manager will contribute to enhancing the company’s success through personalized care planning, ensuring optimal outcomes and compliance with payer standards. Their collaboration with healthcare team members strengthens the overall effectiveness of care delivery, while their expertise in coordinating diverse beneficiary needs reflects the company's commitment to overall well-being. This is a hybrid position based near Johnstown, Pennsylvania, with responsibility for supporting members across Cambria, Indiana, Westmoreland, Armstrong, Somerset, and Clearfield counties.

Requirements

Bachelor’s degree in Social Work.
Active, unrestricted Social Work license.
A minimum of 3 years of Social Work experience with an older adult population in a healthcare environment.
A minimum of 3 years of clinical experience.
A minimum of 1 year of case management review experience.
This is a hybrid position based near Johnstown, Pennsylvania, with responsibility for supporting members across Cambria, Indiana, Westmoreland, Armstrong, Somerset, and Clearfield counties.

Nice To Haves

Master's degree in Social Work (MSW).
A minimum 1-year case management or home care experience.
Ability to multi-task and prioritize with variable and sometimes conflicting deadlines.
Superior attention to detail.
Demonstrated ability in decision-making.
Demonstrated initiative and judgment in performance of job responsibilities.
Maintain professionalism, flexibility and dependability under pressure.
Strong communication (written/verbal), interpersonal, organizational, time management and communication skills.
Exceptional customer service skills.
Ability to foster relationships with internal/external customers and facilitating meetings.
Ability to work independently and as part of a team.
Ability to research/identify and apply appropriate standards of care.
Interest in continuous learning and a commitment to staying informed on regulatory changes.

Responsibilities

Provide care coordination/care management for beneficiaries, ensuring a high level of clinical knowledge and performance by the clinical team.
Foster a caring philosophy in leadership and all aspects of the care management process.
Manage the care of beneficiaries through the healthcare system based on their individual needs.
Use independent judgment and discretion to address and proactively resolve barriers impeding diagnostic or treatment progress.
Interact and collaborate with a multidisciplinary care team, including physicians, nurses, case managers, pharmacists, and social workers/educators to ensure beneficiary needs and preferences for health services/information are shared.
Educate beneficiaries about community resources/options and advocate on behalf of the beneficiary.
Establish a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality outcomes.
Maintain open communication with all appropriate parties.
Maintain strict standards for client confidentiality and client-related information. Comply with all organizational, state, and federal regulations and policies on confidentiality.
Prepare documentation, status updates, event notifications, and other documentation regarding beneficiaries in accordance with regulatory requirements and company policies and procedures.
Monitor case load to ensure all required documentation and entry of assessment results into a web-based database are completed accurately and promptly.
Pursue ongoing education, certification, and self-development to remain current with case management standards.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Other duties as assigned.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.