Social Worker – Field

Social Worker – Field

Requirements

• Candidate must reside in Wake or Durham County, North Carolina
• Must have active and unrestricted LCSW licensure in the state of North Carolina
• 2+ years of experience in medical social work or case management
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time in Wake and/or Durham County, NC (Mileage is reimbursed per our company expense reimbursement policy)

Responsibilities

• Participates in the care planning process in collaboration with the Care Manager, including assessment, goal setting, establishing interventions, identifying barriers, monitoring success, and evaluating care plans
• Conducts care management activities through telephonic and face-to-face interactions, including visits to member homes and community locations
• Responsible for developing and carrying out strategies to coordinate and integrate post-acute and long-term care services to members
• Performs initial and periodic assessments of members enrolled in the Long-Term Care Program and/or care programs
• Applies social work concepts, principles, and strategies in addressing the social determinants of health needs in members’ individualized care plan
• Conducts regular discussions and updates with providers, primary care physicians, Medical Directors, pharmacists, and care management staff regarding the status of members and progress towards goals
• Serves as a member advocate to ensure the member receives all necessary care allowed under the member’s benefit plan and available through Medicaid benefits and/or other community resources
• Develops relationships with hospital social workers and community resources to assure appropriate care management of members
• Assists in the identification and reporting of potential quality improvement issues
• Directs social work interventions including performing psychosocial assessments, telephone follow-ups, in-home or facility assessments, and promoting access to a continuum of care

Preferred Qualifications

• Bilingual (English + Spanish)
• Ability to multitask and manage complex cases
• Experience in member crisis management
• Proficient in Microsoft Office applications