The Social Worker supports individuals and their families through difficult times and ensure that vulnerable people, including children and adults, are safeguarded from harm. Their role is to help in improve outcomes in people's lives.

Role and Responsibilities

Evaluate the psychosocial and emotional needs of members with ongoing and/or situational medical concerns through coaching, education, and support for low acuity emotional needs.

Coordinating referrals for behavioral health services when their emotional/mental health needs are more chronic in nature.

Will assist the member in both inpatient or outpatient settings and will provide discharge planning assistance, as appropriate, during an inpatient stay.

Serves as a liaison with the community resources and their staff to facilitate smooth transition and placement of the patients within the assigned service line.

Advocate for and help clients get resources that would improve their well-being

Research and refer clients to community resources, such as food stamps, child care, and health care

Assess clients’ needs, situations, strengths, and support networks to determine their goals

Develop plans to improve their clients’ well-being

Help clients adjust to changes and challenges in their lives, such as illness, divorce, or unemployment

Help clients work with government agencies to apply for and receive benefits such as Medicare

Respond to crisis situations such as child abuse

Follow up with clients to ensure that their situations have improved

Evaluate services provided to ensure that they are effective

Consult with doctors, therapists and medical professionals

Administer social service programs as determined by the company

Instruct clients’ families during treatment when necessary

Qualifications and Education Requirements

Master’s Degree in Social Work

1 years clinical social work experience

Valid and current LCSW or LMSW license

Ability to make psychosocial assessments and develop and implement viable care plans

Excellent listening and communication skills

Bilingual preferred

Experience with EMRs

Ability to provide after-hours service as needed

CCM or CPHQ (or equivalent) highly desirable

Demonstrated knowledge in the areas of health improvement, process improvement, population health, and health systems planning

Thorough knowledge of medical management clinical review criteria, processes and techniques

Computer Skills: Microsoft Outlook and Word with advanced Excel skills

Commitment to the corporate mission, vision, and values

Positive, service-oriented attitude. High level of integrity