This role involves providing telephonic support to members by assessing their medical, psychosocial, physical, and spiritual needs.
He/She develops, implements, and monitors person-centered service plans, ensuring continuity of care across healthcare settings through collaboration with interdisciplinary teams, primary care providers, members, and specialists.
The role requires utilizing community resources and benefit structures to meet members’ needs, educating them on disease management, preventative health, and quality of life improvements.
Adherence to CMS/DOH regulations and policies is essential.
Qualifications:
- Bachelor’s degree in social work or related field required; MSW or LMSW preferred.
- Minimum of three to five years of clinical social work experience in long-term care, managed care, home care, geriatrics, or hospice preferred.
- Experience in interdisciplinary service delivery environments preferred.
- Knowledge of Medicare and Medicaid regulations preferred.
- Current LMSW certification in the state is preferred.