Senior Social Work Care Manager & Care Coordination

EmblemHealth, Inc.; New York (NY); Presencial; USD 68.000 - 119.000; Jornada completa

Descripción de la vacante

EmblemHealth is seeking a skilled care management professional to coordinate comprehensive plans of care for members across New York. The role focuses on assessment, planning, and facilitating services across settings to ensure optimal health outcomes.

Qualified candidates will typically have 4–6+ years of case management experience and a preferred LCSW certification, with strong knowledge of Medicare/Medicaid regulations and excellent problem-solving abilities.

Formación

• Certification in clinical social work is preferred (LCSW).
• 4–6+ years of case management and/or managed care experience.
• Knowledge of Federal and State regulations for Medicare and Medicaid and other national/state funded programs.

Responsabilidades

• Develop, facilitate, and communicate a plan of care in partnership with the member and care team.
• Provide care management through assessment, planning, coordination, and evaluation.
• Assist members with coordination of services across settings and facilitate transitions.
• Assess members to determine suitability for management at any point in the disease continuum.
• Assess Social Determinants of Health and mental health needs, including depression screening.
• Provide mental health counseling referrals and appropriate support.
• Aim to optimize quality of care and life and identify members for specialty programs.

Conocimientos

Care coordination

Communication

Problem-solving

MS Office

Educación

Clinical social work certification preferred (LCSW)

Herramientas

MS Office (Word, Excel, PowerPoint, Teams, Outlook)

Descripción del empleo

EmblemHealth is seeking a skilled care management professional to coordinate comprehensive plans of care for members across New York. The role focuses on assessment, planning, and facilitating services across settings to ensure optimal health outcomes.

Qualified candidates will typically have 4–6+ years of case management experience and a preferred LCSW certification, with strong knowledge of Medicare/Medicaid regulations and excellent problem-solving abilities.