LCSW Care Manager

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Responsible for patient outreach, assessment, disease management, and care coordination to patients with high rates of medical and behavioral health utilization and/or psychosocial vulnerability Assess patients through telephonic and eventually face to face encounters Builds a collaborative relationship with patients and their identified support system to encourage care participation and improve self-management of needs Utilize motivational interviewing to identify barriers and facilitate care plan compliance Effectively educate patients about healthcare delivery, plan benefits and a variety of topics related to health, and community resources Coordinates timely and appropriate implementation of assessments, care plans, and interventions for the identified patient population Provide medication reconciliation and support ongoing adherence Identify and helps to align patient care and community resources to prevent hospital readmissions and Emergency Department visits Document all activity in the documentation systems relevant to the role Collaborate with the care team to achieve high-quality, low-cost outcomes for patients. Interface and maintain positive relationships with key providers in the local hospitals, community practices, and organizations to ensure proper patient engagement and follow up Achieve established productivity targets Maintain compliance with the organization policies and procedures Demonstrate the ability to adapt, innovate and lead in a fast-paced environment, where change is common Passionate about making a difference in individual’s lives Other duties as assigned Job Details Description Primary Functions: Responsible for patient outreach, assessment, disease management, and care coordination to patients with high rates of medical and behavioral health utilization and/or psychosocial vulnerability Assess patients through telephonic and eventually face to face encounters Builds a collaborative relationship with patients and their identified support system to encourage care participation and improve self-management of needs Utilize motivational interviewing to identify barriers and facilitate care plan compliance Effectively educate patients about healthcare delivery, plan benefits and a variety of topics related to health, and community resources Coordinates timely and appropriate implementation of assessments, care plans, and interventions for the identified patient population Provide medication reconciliation and support ongoing adherence Provide transitional care management Identify and helps to align patient care and community resources to prevent hospital readmissions and Emergency Department visits Document all activity in the documentation systems relevant to the role Collaborate with the care team to achieve high-quality, low-cost outcomes for patients. Interface and maintain positive relationships with key providers in the local hospitals, community practices, and organizations to ensure proper patient engagement and follow up Achieve established productivity targets Maintain compliance with the organization policies and procedures Demonstrate the ability to adapt, innovate and lead in a fast-paced environment, where change is common Passionate about making a difference in individual’s lives Other duties as assigned Qualifications Requires a Master’s in Social Work Must have a current full licensure as a LCSW by the NC Social work Certification and Licensure Board Two years post master’s clinical experience is required Medical Social Work experience strongly preferred Knowledge of care management and quality principles are preferred Requires the ability to maintain confidentiality Must be able to interact with individuals of all cultures and level of authority Additional Skills Required Excellent and effective written and oral communication skills. Proficiency in Microsoft Office Outlook, Word, Excel, PowerPoint use and e‐mail communication. Ability to communicate clearly and succinctly. Dependable, manages time well; efficient and organized. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Benefits 401(k) Health, Dental and Vision insurance Employee assistance program AFLAC Paid time off Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Atlantic Medical Management, LLC by 2x Sign in to set job alerts for “Licensed Clinical Social Worker” roles. Mobile Crisis Worker On-Call- (BLADEN & COLUMBUS COUNTIES) Licensed Clinical Mental Health Counselor or Licensed Marriage and Family Therapist We’re unlocking community knowledge in a new way. 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