Supervisor, Social Worker (DOH/PHD/FHB #11197)

New Mexico Department of Health; Taos (NM); On-site; USD 69,000 - 103,000; Full time

Job summary

New Mexico Department of Health is seeking a Senior Medical Social Worker to coordinate pediatric care through the Children's Medical Services program across six NE counties. The role requires licensure as LMSW or LCSW and significant supervisory experience.

You will manage billing coordination, care planning for children with chronic conditions, and collaboration with CMS, Medicaid, and external partners to improve access to services for families in New Mexico.

Qualifications

• Master's level social worker with a current license as LMSW or LCSW.
• Minimum five years as a licensed social worker in health, social services or related settings.

Responsibilities

• Provide licensed medical social work services/care coordination to a caseload of children and youth with chronic medical conditions and support to their families.
• Provide social work supervision to two MSW staff covering 6-county area.
• Lead outreach to medical practices, hospitals and community agencies to build caseload in NE NM.
• Oversee CMS users' training on the program's integrated database.
• Troubleshoot provider billing errors and assist CMS staff and providers with patient care issues.
• Liaise between CMS, Medicaid, and the database contractor; generate reports to support patient care.
• Manage enrollment of eligible clients onto the high risk medical pool.

Skills

Medical social work

Supervisory experience

Bilingual English/Spanish

Education

Bachelor's degree in Social Work (NMAC 61-31-9)

Job description

Salary

$33.12 - $49.68 Hourly

$68,886 - $103,330 Annually

This position is a Pay Band C9

The Family Health Bureau works to improve the health of women, children and families in New Mexico through policy, surveillance, assurance, and direct services provided to reproductive age women, infants, children, adolescents and their families, including children and youth with special healthcare needs. The staff in the bureau work to bring federal funds to New Mexico and provide guidance and oversight of program services provided in the regional health offices.

Why does the job exist?

This position provides support to the Children's Medical Services (CMS) program by coordinating and organizing pediatric medial specialty clinics that occur annually in the local public health office to improve access to pediatric care. This includes handling all logistics for the providers and the public health staff. The position helps the program with fiscal solvency by managing the case management and clinic billing for all clients enrolled in the program. This includes auditing monthly billing sheets for services as provide by CMS staff and entering client claims into each insurance billing portal. It requires a high-level knowledge of medical terminology, billing codes, claims submission and denials and adjudication to address any claim denials. Provision of direct licensed medical social work services/care coordination of caseload; supervision of other licensed medical social workers and building partnerships with medical community and social service agencies in a six-county area.

How does it get done?

• Provide licensed medical social work services/medical care coordination to a caseload of children and youth with chronic medical conditions and support to their families. 40%
• Provide social work supervision to two staff MSW social workers covering 6 NE NM county area. 20%
• Provide outreach to medical practices, hospitals, community agency for the mission of partnership and building caseload in the 6 NE County area. 20%
• Oversight of the training activities for CMS users on the program's integrated database. 5%
• Trouble shoot provider billing errors and assist CMS staff and medical providers in resolving issues related to patient care. 5%
• Liaison between CMS, Medicaid, and database contractor. Manage reports that assist with patient care and delivery of services.5%
• Manage the enrollment of eligible clients onto the high risk medical pool. 5%

Who are the customers?

Clients of Children Medical Services, internal and external partners of Family Health Bureau and Department of Health. Customers also include internal and external customers, clinical field office staff, contractors, and state office staff.

Ideal Candidate

Must be a master's level social worker. Must possess a current license in accordance with NMAC61-31-9 to practice as a LMSW or LCSW level. More than five years working as a licensed social worker in social work setting such as social service agencies, healthcare, medical, educational settings, mental health, home health, hospice, developmental disabilities, or other relevant settings. Five years minimum of social work supervisory experience as it pertains to the essential duties and responsibilities of the classification. Considerable knowledge of social work principles and practices and experience working in partnership with multiple agencies; Familiarity or experience working in medical environment. Experience working with children/ youth with special healthcare needs preferred; excellent organizational and interpersonal skills; Ability to work with a diverse client population, e.g., age, sex, race, mental/physical capabilities, religion, ethnicity, and culture. Bilingual English Spanish preferred.

Minimum Qualification

Bachelor's degree in Social Work (in accordance with NMAC 61-31-9) and three (3) years of experience in a social work setting such as social service agencies, healthcare, medical, educational settings, mental health, home health, hospice, developmental disabilities, and other relevant experience, working with patients, clients, providers, and families. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling seven (7) years may substitute for the required education and experience.

Employment Requirements

• Must possess and maintain a valid Driver's License.
• Must possess and maintain a current Defensive Driving Course Certification from the State of New Mexico or must pass and receive Defensive Driving Course Certification as a condition of continued employment.

Working Conditions

Office setting, exposure to Visual/Video Display terminal (VDT) and extensive personal computer and cellular telephone usage with extended periods of sitting. Must be able to lift 25 lbs. Position requires weekly travel to nearby county (Espanola, Rio Arriba)

Bargaining Unit Position

This position is not covered by a collective bargaining agreement.