Remote Social Work Care Manager for Medicare/Medicaid

MJHS; Clifton (NJ); On-site; USD 75,000 - 95,000; Full time

Job summary

MJHS is seeking a Social Work Care Manager to provide telephonic support to members, addressing medical, psychosocial, physical and spiritual needs. You will develop, implement and monitor person-centered service plans and coordinate care across settings with the interdisciplinary team, PCP and member representatives.

You will educate members on disease processes, preventive health and quality of life interventions, while ensuring compliance with CMS/DOH regulations and policies.

Qualifications

• Bachelor’s degree in social work or related field required
• MSW or LMSW preferred
• 3–5 years clinical social experience in long term care, managed care, home care, geriatrics or hospice preferred
• Prior experience in an interdisciplinary service delivery environment preferred
• Working knowledge of Medicare and Medicaid regulations preferred
• Current LMSW in New York State preferred

Responsibilities

• Provides telephonic support to members’ medical, psychosocial, physical and spiritual needs.
• Develops, implements and monitors person centered service plans; ensures continuity of care across settings by collaborating with the interdisciplinary team, PCP, member and member’s representatives, and specialists.
• Utilizes benefit structure and community-based resources to meet member’s needs.
• Educates members on disease processes, preventive health and quality of life interventions.
• SW Care Manager will be knowledgeable in and adhere to CMS/DOH regulations and policies.

Education

Bachelor’s degree in social work or related field

MSW or LMSW preferred

Job description

MJHS is seeking a Social Work Care Manager to provide telephonic support to members, addressing medical, psychosocial, physical and spiritual needs. You will develop, implement and monitor person-centered service plans and coordinate care across settings with the interdisciplinary team, PCP and member representatives.

You will educate members on disease processes, preventive health and quality of life interventions, while ensuring compliance with CMS/DOH regulations and policies.