Licensed Independent Clinical Social Worker

360X Staffing; Washington (District of Columbia); Hybrid; USD 65,000 - 85,000; Full time

Job summary

360X Staffing is seeking a Care Manager in Washington, D.C. This role involves managing a caseload, conducting assessments, and coordinating care for health plan members. Applicants must have a Master's Degree and DC LICSW, along with at least 3 years of related experience in managed care. The position requires employees to be in the field four days a week. Comprehensive care and evaluation are essential to support individuals with complex medical and psychosocial needs.

Qualifications

• Master's Degree in Social Work or related field is required.
• DC LICSW license is mandatory.
• Minimum of 3 years in healthcare or related management experience.

Responsibilities

• Manage a caseload and coordinate care for assigned members.
• Conduct regular face-to-face visits with enrollees.
• Assess and address needs or barriers to care.

Skills

Healthcare coordination

Assessment of needs

Compliance management

Communication skills

Education

Master's Degree

DC LICSW

Job description

*This position will require employees to be in the field (D.C) four (4) days a week and 1 day remote.

Under the direction of the Senior Care Manager, the Care Manager (CM) is responsible for providing comprehensive care coordination services to members who are enrolled in the health plan. The CM routinely communicates with members on their assigned caseload to assess their needs; develop, monitor and evaluate treatment plan progress; and assist with coordinating care and referring to appropriate services for members who have moderate to complex medical and psychosocial needs.

Essential job duties

• Manages a caseload as outlined and Care Management Leadership.
• Maintains compliance in accordance with contractual and care management requirements
• Contacts enrollee at predetermined intervals based on stratification level or more frequently, as needed.
• Conducts face-to-face visits at a frequency determined by the enrollee’s assigned stratification level or more if needed, with each enrollee/caregiver in their homes, physician’s offices, or other mutually agreed upon locations.
• Assesses enrollees on enrollment and at intervals determined by the enrollee’s stratification level to identify needs/barriers and close gaps in care.
• Identifies over/under utilization promptly, and takes appropriate action according to organizational policy.

Qualifications

• Master's Degree (Required)
• DC LICSW (Required)
• 3 years or more years of healthcare or related experience in managed care and /or care management (Required)
• 3 years or more years experience in clinical or community resource settings (Required)