Social Worker Case Manager

TALENT Software Services; Cambridge (MA); On-site; USD 70,000 - 95,000; Full time

Job summary

TALENT Software Services is seeking an experienced ambulatory case manager in Cambridge, MA to deliver outpatient case management for HUHS patients. You will conduct patient interviews, monitor care utilization, and develop individualized care plans in collaboration with clinical staff.

Responsibilities include communicating with treating clinicians, providing regular clinical updates, educating medical staff on guidelines, and helping identify and resolve care quality issues.

Qualifications

• Minimum of three years of social work experience in a medical setting.
• Familiar with managed care and case management principles.
• Familiar with care needs of medically complex children, adults, and geriatric populations.
• LICSW or LCSW licensure required; LICSW requires credentialing before start.

Responsibilities

• Provides ambulatory case management services to identified patients through interviews, monitoring, and care plan development.
• Collaborates with clinical staff to deliver a comprehensive outpatient care plan.
• Communicates with treating clinicians and provides updates on care concerns.
• Participates in applying Case Management principles and educates staff on guidelines.
• Identifies quality of care issues and assists in developing resolutions.
• Assists in developing reports and resources for other departments.
• Manages a small team handling 40–50 cases, hospitalizations, and advance directive outreach.

Skills

Case management

Research

Communication

Interpersonal skills

Analytical thinking

Problem solving

Education

Massachusetts LICSW or LCSW

Job description

Job Description

Provides ambulatory case management services to identified HUHS patients through a process of research, patient interviews, monitoring of care utilization patterns, and development of care plans. Collaborates with clinical staff to provide a comprehensive outpatient care plan. Communicates with treating clinicians on areas of concern and provides clinical updates to clinicians on a regular basis. Participates in ensuring that UHS is at the forefront of applying Case Management principles. Educates medical staff on criteria/guidelines as appropriate. Works with the team leader to identify areas of concern in clinicians' practice patterns and assists in developing resolutions. Identifies potential quality of care issues. Assists in the development of reports and resources required by other departments. Excellent organizational, analytical, problem-solving, and interpersonal skills are essential.

Required Licensure

• Massachusetts LICSW or LCSW (no LMHCs, LSWs, etc.)


• LICSW requires full credentialing prior to start

Required Experience

• Minimum of three years of social work experience in a medical setting.


• Familiar with managed care and case management principles.


• Familiar with care needs of medically complex children, adults, and geriatric populations.

This is a small team that manages approximately 40-50 cases each, hospitalizations, and completes advance directive outreach.