Social Work Care Manager

Network Health; Menasha (WI); Remote; USD 50,000 - 70,000; Full time

Job summary

Network Health is seeking a Social Work Care Manager to provide case management services that support members across the healthcare continuum. This role involves assessment, planning, care coordination, and advocacy, with responsibilities including educating families, evaluating referrals, and facilitating care among providers. A Bachelor's degree in Social Work and licensure in Wisconsin are required, along with experience in healthcare management. Join a team dedicated to making a positive impact in the community while enjoying some flexibility in a remote work setting.

Qualifications

• Bachelor's Degree in Social Work or related field required.
• Four years of experience as a Social Worker or Case Manager.
• Current licensure as a Certified Social Worker in Wisconsin.

Responsibilities

• Provide case management services across the healthcare continuum.
• Evaluate and process member referrals from physicians.
• Educate individuals and families about health conditions and resources.

Skills

Knowledge of case management principles

Motivational interviewing

Communication

Education

Bachelors Degree in Social Work

Certified Social Worker

Tools

MS Office

Job description

The Social Work Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The care manager advocates for and supports member care management needs by providing professional social work services and care management while coordinating benefits and resources.

Check out our2024 Community Reportto learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

• Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health
• Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
• Screen candidates for management and when appropriate completes assessments, care plans with prioritized goals, interventions, and timeframes for re-assessment using evidence-based clinical guidelines
• Update care plan to reflect progress towards goals; close cases when expected goals/outcomes are achieved
• Provide information and outreach regarding case or condition management activities to members, caregivers, providers and their administrative staff
• Evaluate and process member referrals from physicians to other specialty providers
• Assess, plan, facilitate and advocate for individuals to identify quality, cost effective interventions services and resources to ensure health needs are met
• Work with members and families on self-management approaches using coaching techniques such as motivational interviewing
• Educate the individual, his/her family and caretakers about case and condition management, the individual’s health condition(s), medications, provider and community resources and insurance benefits to support quality, cost effective health outcomes
• Facilitate the coordination, communication and collaboration of the individual’s care among his/her providers including tertiary, non-plan providers and community resources with the goal of controlling costs and improving quality
• Schedule visits with the individual and participate in facility-based care conferences as appropriate to ensure quality care, appropriate use of services, and transition planning
• Stay abreast of current best practices and new developments
• Other duties as assigned

Job Requirements:

• Bachelors Degree in Social Work, or related field
• Four years work experience as a Social Worker or Case Manager
• Experience with Medicare, Medicaid, Managed Care, and state and federal regulations pertaining to skilled nursing preferred
• Position may require two (2) years experience working in behavioral health
• Current licensure in the State of Wisconsin as a Certified Social Worker
• CAPSW, CISW preferred
• Proficient skill with MS Office products (Word, Excel, Outlook)
• Knowledge of case management principles, healthcare management and reimbursement systems
• Knowledge of behavior change theory/motivational interviewing

** This position is eligible to work out of your home office in the state of Wisconsin. Travel to the corporate office will be required occasionally for the position.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce.

Qualifications Licenses & Certifications

Required

Social Worker

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.