Social Worker, Neighborhood Care (Cambria Heights - In Person)

EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visitemblemhealth.com . Social Worker, Neighborhood Care (Cambria Heights - In Person) Provide behavioral health services for the chronically ill or at-risk population in a community-based setting with an overall objective to help member’s live fuller and more meaningful lives. Manage members with behavioral health, substance abuse, and/or psychosocial conditions/issues. Consult with all members of the team on behavioral health, substance abuse and/or psychosocial issues. Facilitate member adoption of strategies to promote physician-recommended behavior change. Help members improve health outcomes with feedback from the medical team and EmblemHealth’s Case Management team as needed. Principal Accountabilities Perform member outreach – virtually, telephonically and in-person, individual needs assessment, education on early warning signs of disease prevention, and identifying members in potential need of care. Provide support services as well as social services supports from other organizations (community based and otherwise). Provide assessment, planning, implementation, coordination, monitoring, and evaluation to ensure member receives care management services and support required to meet psychosocial, educational and health care needs. Assist members with the coordination of services from various settings as appropriate including supporting discharge from acute setting to home and acute setting to alternate settings. Provide care coordination throughout the continuum of care by including the member, member’s family, and providers in the process. Support activities of other Neighborhood Care team members. Participate in all other projects relating to community clinical programming as identified by Regional Manager, AVP in Neighborhood Care and Medical Management Leaders. Participate as part of the Quality and Customer Experience team by providing feedback and ideas to continually improve clinical metrics and other customer experience. Other duties/responsibilities as directed, assigned, or required. Qualifications Master’s in social work (LMSW) 4-6 years’ care management and/or managed care experience (Required) Knowledge of community resources access (Required) Prior health plan experience (Preferred) Detail oriented, with strong organizational and problem-solving skills (Required) Strong motivational interviewing skills (Preferred) Strong working knowledge of MS Office (word processing, database/spreadsheet, presentation, e-mail) (Required) Bilingual English/Spanish or English/Creole (Preferred) Additional Information Requisition ID: 1000003305 Hiring Range: $68,040-$118,800 Security Disclosure If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail. Pay Disclosure At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation. EEOC Statement We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, age, creed, citizenship status, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law. Sponsorship Statement At EmblemHealth, we are committed to building a diverse and talented workforce. However, we are unable to consider applicants who require, or are likely to require, either before or after hire, visa sponsorship for work authorization in the United States, including but not limited to H-1B, F-1 (STEM OPT), TN, or any other non-immigrant status. Some extremely rare exceptions may apply based on critical business needs. #J-18808-Ljbffr EmblemHealth