Medicaid Social Work Care Manager - Home & Community

Blue Cross Blue Shield of Alabama; Birmingham (AL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

None

Job summary

Blue Cross Blue Shield of Alabama is seeking a dedicated care manager to coordinate services for Medicaid beneficiaries. The role focuses on developing sound care plans through face-to-face interactions and frequent documentation of progress and SMART goals.

You will work with home-based and community populations, providing transitional support after inpatient stays and collaborating with medical providers and community resources to improve health outcomes.

Qualifications

• BSW or MSW degree required.
• Active Alabama Licensed Baccalaureate Social Worker (LBSW) in good standing.
• Must reside within the region or adjoining county.
• Strong written and verbal communication to engage recipients in plan of care.
• Ability to document electronic case records and write SMART goals.
• Experience handling a heavy caseload.
• Experience analyzing clinical situations and making informed decisions.
• Experience in working with medical providers or community resources.

Responsibilities

• Care management for Medicaid recipients assigned by State program.
• Face-to-face meetings to understand challenges and develop care plans.
• Provide services to home care and community-based populations needing transitional services from inpatient facilities.

Skills

Communication skills

Caseload management

Written communication

Decision making

Patient engagement

Education

BSW or MSW

AL LBSW license

Job description

Blue Cross Blue Shield of Alabama is seeking a dedicated care manager to coordinate services for Medicaid beneficiaries. The role focuses on developing sound care plans through face-to-face interactions and frequent documentation of progress and SMART goals.

You will work with home-based and community populations, providing transitional support after inpatient stays and collaborating with medical providers and community resources to improve health outcomes.