Social Work Care Coordinator/Team Leader

HealthCare Access Maryland; Baltimore (MD); Hybrid; USD 54,000 - 76,000; Full time

Benefits offered by this job

401k with employer match

Medical, dental, life insurance

Health Savings Account (HSA)

Job summary

HealthCare Access Maryland (HCAM) seeks a Licensed Social Work Care Coordinator to provide short-term care coordination for individuals and families using MD Medicaid. You will receive referrals, assess needs, partner with MCOs, providers, and community resources to remove barriers to care, and lead a team to apply best practices for psychosocial and behavioral health needs.

Responsibilities include outreach within 5–10 days, documentation in the EMR, collaboration across agencies, and

Qualifications

• BSW degree from an accredited program and Maryland licensure.
• Minimum of 2 years related experience in social work or care coordination.
• Clinical experience with pregnant women and/or infants preferred.

Responsibilities

• Lead team meetings to discuss complex cases and share resources.
• Receive referrals, assess needs, and coordinate with MCOs and providers.
• Outreach to clients within 5–10 days of referral and address barriers to care.
• Document outreach activities and prepare narratives and reports.
• Collaborate with community agencies to connect clients to resources.

Skills

Community Outreach

Medicaid Navigation

MS Word

Excel

Outlook

SharePoint 365

Independent & Team Work

Time Management

Education

Bachelor's degree in social work

Maryland Social Work licensure

2+ years related experience

Clinical experience with pregnant women/infants

Tools

MS Word

Excel

Outlook

SharePoint (365)

Job description

Location: Baltimore, MD

Remote Status: Hybrid

Job Id:211

# of Openings:1

About HealthCare Access Maryland (HCAM):

HealthCare Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health.

Job Summary

Licensed Social Work Care Coordinator will provide short-term care coordination services to individuals and families utilizing MD Medicaid insurance. The Social Work Care Coordinator will be responsible for receiving referrals from various sources, assessing client needs and partnering with Medicaid Managed Care Organizations, Providers, Public Health and community resources to address the needs identified as barriers to care. The SWCC also serves as a Team leader to provide best practice and interventions to resolve complex psychosocial and behavioral health conditions and needs.

Administration

• Participate in professional development opportunities that build effectiveness in areas of client engagement and intervention, motivational interviewing, trauma-informed outreach strategies.
• Participation in local/state meetings, conferences, community meetings.
• Participate in city-wide initiatives/groups/committees as applicable.
• Consistent and timely communication with supervisor- SW Program Manager
• Perform as a Team Lead responsible hosting team meetings with outreach staff members to discuss complex cases, best practices, and sharing of resources
• Community Partnerships/Outreach
• Initiate client outreach via telephone or via home visit within 5-10 days of receipt of a referral
• Outreach clients with medical or psychosocially complex needs. Assess and provide education of Medicaid benefits and services, re-connect recipients to medical home, Managed Care Organization, and link to covered benefits.
• Consult with other community agencies to identify potential resources for resolving social determinants of health needs
• Connect and collaborate with Providers, Hospitals, Community Based Organizations, MCO Case managers and other professionals to address and resolve client need

Care Coordination

• Assess, triage, and refer clients to a variety of available resources to reduce barriers to wellness including the following partners: B'More for Healthy Babies Centralized Intake, home visiting, WIC, Safe Sleep, etc. Appropriate MCO incentive programs and case management, Medical Assistance Transportation
• Provide linkage and coordination to OB, MCO, pediatric or primary care, postpartum care, dental care, behavioral health, specialty care, as well as linkage to the Maryland Medical Care Programs as needed.
• Maintain a monthly minimum success rate of 70%.
• Maintain a monthly minimum on-time case closure rate of 90%.

Documentation

• Documentation of all outreach activities according to standard operating procedures in the HCAM electronic medical database.
• Documents client assessments, activity, service plans and resolutions; prepare narrative and statistical reports.
• Provide Service Response letters to referring Entities at the time of case closure

Human Resources

• Complete and submit timesheets timely and accurately.
• Complete all the training courses required as assigned

Additional duties and responsibilities

• Additional duties as assigned

QUALIFICATIONS: Education, Experience, Certifications and Licensures:

• Bachelor's degree in social work from an accredited college or university.
• Current licensure as a Social Worker in the State of Maryland.
• A minimum of 2 years of related experience
• Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting

KNOWLEDGE, SKILLS & ABILITIES

• Demonstrated knowledge in the following areas: Community Outreach and Medicaid System Navigation.
• Demonstrated knowledge and experience working with HealthChoice Medicaid recipients and Managed Care Organizations.
• Organizational and Problem-solving skills.
• Strong knowledge of community resources.
• Proven ability to work efficiently and meet deadlines.
• Organizational skills with the ability to meet a demanding workload.
• Excellent oral and written interpersonal and communication skills required.
• Strong computer literacy skills, specifically with MS Word, Excel, Outlook and SharePoint (365).
• Ability to work independently and as part of a team to achieve project success in outreaching clients identified for care coordination.

Compensation

In compliance with Maryland's wage transparency requirements, the compensation for this role has been included in the posting. Additionally, the benefits package includes vacation, sick, personal, and mental health leave, a 401k retirement plan with employer match, medical, dental, life, short-term and long-term disability insurance, company-paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match.

EEO Statement

HealthCare Access Maryland provides equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification. Equal employment opportunity includes, but is not limited to, hiring, training, promotion, demotion, transfer, leaves of absence, and termination. HealthCare Access Maryland takes allegations of discrimination, harassment, and retaliation seriously and will promptly investigate when such behavior is reported.

Safety & Health Responsibilities

HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.

With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times, and; participate in mandatory or available safety training.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.