Supervises, instructs and guides clinical and non-clinical staff in the care management of at risk patients.
Responsibilities
Responsible for day-to-day oversight of the Care Managers and coordination of necessary resources. This may include adequate clinical, behavioral, acute/chronic, and social care services.
Ensure staff is able to facilitate member and provider needs through entire care management cycle.
Partner with internal staff on key initiatives and outreach for members as needed.
Coordinate and communicate on access issues, assessments, internal protocols.
Implement policies and procedures through oversight for complex cases and present to management.
Coordinate the training of care management staff.
Facilitate on-going communication between care management staff and providers.
Assign cases and oversee care management caseloads including service care plan approval and member case file reviews.
Performs related duties as required.
Requirements
Master's degree required, or equivalent combination of education and related experience.
Current License to practice as a Master Social Worker in New York State required, plus specialized certifications as needed.
Current License to practice as a Clinical Social Worker in New York State preferred.
4-6 years of relevant experience, and 0-2 years of leadership/management experience required.