MSW Social Work Care Manager - Elder (Hybrid)

Elderwood; New York (NY); Hybrid; USD 60,000 - 74,000; Full time

Benefits offered by this job

Hybrid schedule

No weekends/overnights

Medical/Dental/Vision benefits

401(k) with employer match

Free parking

Job summary

Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager with an MSW to join our growing team in New York. The role involves direct telephonic and in-person engagement with members who have chronic medical illness or mental health needs.

Responsibilities include assessment, care coordination, discharge planning, EMR documentation, participation in interdisciplinary teams, coaching families, and helping members access community resources.

Qualifications

• Master’s degree in social work is required.
• Minimum of one year social work experience with at risk populations in home care, case management, discharge planning or managed care.
• Experience with frail or elderly populations and/or chronic illness or behavioral health issues.
• Managed care experience, within a MLTC or working with special needs populations preferred.
• Must have a valid NYS driver’s license, a safe driving record and dependable transportation.
• Must be in good standing with the Medicare and Medicaid programs.
• Must be free of communicable disease.
• Bilingual skills (preferred).

Responsibilities

• Direct telephonic and in-person engagement with individuals with chronic medical illness or mental health issues and families.
• Utilize assessment tools to determine the needs of our member population.
• Link members to resources in the community outside of the scope of services MLTC provides to support social determinants of health.
• Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address/support medical needs.
• Reviews benefits options, research community resources, coordinates services, trains/creates behavioral routines and enables members to be active participants in their own healthcare.
• Documents in the EMR each encounter or routine contact with members, providers or caregivers and reports changes in conditions to the RN Care Manager, which may require interventions.
• Participate in Interdisciplinary Team meetings, Disease Management, Utilization Management, and Quality Improvement activities and prepare/submit activity reports.
• Provide coaching and education to members and their caregivers on health care related issues
• Provide discharge planning and continuous care management across care settings and coordinate the transition planning
• Participate in shared on-call, after-hours coverage along with other Elderwood staff.

Education

Master’s degree in social work

Job description

Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager with an MSW to join our growing team in New York. The role involves direct telephonic and in-person engagement with members who have chronic medical illness or mental health needs.

Responsibilities include assessment, care coordination, discharge planning, EMR documentation, participation in interdisciplinary teams, coaching families, and helping members access community resources.