Social Worker (SDoH) *Eastern Shore

Maryland Physicians Care Inc.; La Plata (MD); Hybrid; USD 76,000 - 84,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

100% employer Term Life Insurance

Short and Long-Term Disability

401k Employer Match up to 4%

20 days PTO

Tuition assistance/professional dev.

Job summary

Maryland Care Management, Inc. (MCMI) seeks a Social Determinants of Health Social Worker to join MPC’s care management team. You will assess, plan, facilitate, and advocate for members to meet health needs across the care continuum.

This hybrid role requires 2-3 days per week at community partner sites on the Eastern Shore as you collaborate with an interdisciplinary team to connect members with community resources and support durable, cost-effective outcomes.

Qualifications

• Bachelor’s degree in social work required or equivalent experience.
• Master’s degree preferred for advanced practice.
• Maryland LMSW or LCSW licensure in good standing.

Responsibilities

• Involve members of the SDoH team to develop and support MPC SDoH programs.
• Assess members using clinical judgment and prioritize issues.
• Collaborate with the care team to reach health goals via rounds and consultation.
• Complete assessments to understand Social Determinants of Health impacting care goals.
• Identify community resources and coordinate referrals for members.
• Develop action-oriented, time-specific plans to meet member needs.
• Build strong relationships with members, providing support and advocacy.
• Monitor services and member responses to interventions to measure plan effectiveness.
• Participate in outreach to promote program knowledge and collaborate with external agencies.

Skills

Relational skills

Community resources knowledge

Care planning and evaluation

Team collaboration

Communication skills

Education

Bachelor’s degree in social work

Master’s degree preferred

Maryland LMSW or LCSW licensure

Tools

MS Office

Job description

• This position covers Caroline, Cecil, Dorchester, Kent, Harford, Queen Anne's, Somerset, Talbot, Wicomico, and Worcester county*

Job Type

Full-time

Description

• This position covers Caroline, Cecil, Dorchester, Kent, Harford, Queen Anne's, Somerset, Talbot, Wicomico, and Worcester county*

Summary/Position Objectives

This position will be part of the Maryland Physicians Care (MPC) Social Determinants of Health team. This team works directly with MPC members to address social barriers to optimal health. This Social Worker will provide care management through a cooperative process of assessment, planning, facilitation and advocacy for options and services to meet member’s health needs through communication and available resources, while promoting quality cost-effective outcomes. Maintains members in the most independent living situation possible; ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives

What You’ll Do

• Involved members of the SDoH team to develop, implement, and assist MPC SDoH programs.


• Utilize clinical judgment to assess members, prioritizing emerging issues to maintain a member-centric approach.


• Collaborate with the interdisciplinary care team to help members reach their health goals via case rounds and consultation.


• Complete assessments to better comprehend the Social Determinants of Health (SDoH) impacting member care goals.


• Utilize problem-solving skills to research and identify community resources and coordinate referral mechanisms.


• Plan specific goals, and actions designed to meet member’s needs as identified in the assessment process that are action-oriented, time-specific, and cost-effective.


• Implement specific activities and/or interventions that lead to accomplishing the goals outlined in the plan of care.


• Develop strong relationships with members by providing support and advocacy to help achieve health goals.


• Monitor care management activities, services, and members’ responses to interventions, to establish the effectiveness of the plan of care and the utilization of services.


• Evaluate the effectiveness of the plan of care in reaching desired outcomes and goals; make modifications or changes in the plan of care as needed.


• Participates in outreach activities to promote knowledge of the program and its services and to coordinate program activities with outside community agencies and health care providers.

Secondary Functions

• Observe the confidentiality of member records following MPC policies and procedures.


• The hybrid position requires 2-3 days/week at community partner sites in Eastern Shore.

Requirements

Knowledge and Skills:

• Strong relational skills and the ability to work effectively with various constituencies in a diverse community.


• Knowledge of community agencies and resources (Southern and Eastern Shore MD).


• Ability to plan, implement, and evaluate individual client care plans.


• Computer literate, Microsoft Office preferred.

Education And Work Experience

• Bachelor’s degree in social work required




• Master’s degree preferred




• Maryland state LMSW or LCSW licensure in good standing required


• 3 years of experience in a community setting required




• Knowledge of government-managed care programs preferred




• A valid Maryland State Driver's License required

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.

As a healthcare organization, we recognize the importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.

We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.

Salary Description

76-84k