Social Worker (SDoH) Western MD

Maryland Care Management Inc•Frederick, MD

just now•Hybrid

About The Position

This position will be part of the Maryland Physicians Care (MPC) Social Determinants of Health team. This team works directly with MPC members to address social barriers to optimal health. This Social Worker will provide care management through a cooperative process of assessment, planning, facilitation and advocacy for options and services to meet member’s health needs through communication and available resources, while promoting quality cost-effective outcomes. Maintains members in the most independent living situation possible; ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.

Requirements

Candidate should reside in Western MD (Allegany, Garrett, Washington, or Frederick County)
Strong relational skills and the ability to work effectively with various constituencies in a diverse community.
Knowledge of community agencies and resources (Central MD).
Ability to plan, implement, and evaluate individual client care plans.
Computer literate, Microsoft Office preferred.
Bachelor’s degree in social work required
Maryland state LMSW or LCSW licensure in good standing required
3 years of experience in a community setting required
A valid Maryland State Driver's License required

Nice To Haves

Master’s degree preferred
Knowledge of government-managed care programs preferred

Responsibilities

Involved members of the SDoH team to develop, implement, and assist MPC SDoH programs.
Utilize clinical judgment to assess members, prioritizing emerging issues to maintain a member-centric approach.
Collaborate with the interdisciplinary care team to help members reach their health goals via case rounds and consultation.
Complete assessments to better comprehend the Social Determinants of Health (SDoH) impacting member care goals.
Utilize problem-solving skills to research and identify community resources and coordinate referral mechanisms.
Plan specific goals, and actions designed to meet member’s needs as identified in the assessment process that are action-oriented, time-specific, and cost-effective.
Implement specific activities and/or interventions that lead to accomplishing the goals outlined in the plan of care.
Develop strong relationships with members by providing support and advocacy to help achieve health goals.
Monitor care management activities, services, and members’ responses to interventions, to establish the effectiveness of the plan of care and the utilization of services.
Evaluate the effectiveness of the plan of care in reaching desired outcomes and goals; make modifications or changes in the plan of care as needed.
Participates in outreach activities to promote knowledge of the program and its services and to coordinate program activities with outside community agencies and health care providers.
Observe the confidentiality of member records following MPC policies and procedures.