Care Manager Social Worker – Chronic Illness & Behavioral Health

EmblemHealth; New York (NY); Remote; USD 68,000 - 119,000; Full time

Job summary

EmblemHealth in New York City is seeking a collaborative Care Manager to oversee comprehensive management of members with chronic and catastrophic illnesses, frail elderly, and complex psychosocial needs. You will coordinate care and facilitate transitions across settings to improve health outcomes and align with physician recommendations.

You will work with behavioral health considerations, develop care plans with providers, and guide members and families through education and access to

Qualifications

• Bachelor's degree required.
• Master's in social work (LMSW) required.
• Clinical social work licensure (LCSW) preferred.
• 4–6+ years of case management/managed care experience.
• Knowledge of Medicare/Medicaid regulations.
• Knowledge of community resources access.
• Experience leading care management teams.
• Health plan experience is a plus.
• Strong problem-solving skills.
• Detail oriented and organized.
• Excellent written and verbal communication.

Responsibilities

• Develop, facilitate, and communicate a plan of care with members, families, and providers.
• Provide care management across assessment, planning, coordination, and evaluation.
• Coordinate services across settings including discharge planning and transitions.
• Assess members for eligibility and appropriate management at any disease stage.
• Assess social determinants of health and mental health needs.
• Provide mental health referrals and support as needed.
• Identify members for specialty programs to improve outcomes.

Skills

Case management

Managed care

Team leadership

Regulatory knowledge

Community resources

Problem solving

Attention to detail

Organizational skills

Excellent communication

Interpersonal skills

Verbal communication

Written communication

Presentation skills

Education

Bachelor's degree

Master's in social work (LMSW)

Tools

MS Office

Job description

EmblemHealth in New York City is seeking a collaborative Care Manager to oversee comprehensive management of members with chronic and catastrophic illnesses, frail elderly, and complex psychosocial needs. You will coordinate care and facilitate transitions across settings to improve health outcomes and align with physician recommendations.

You will work with behavioral health considerations, develop care plans with providers, and guide members and families through education and access to