Social Work Case Manager (LMSW) Maryland Medicaid

Location This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. Work Hours 8:30am – 5:30pm, Monday - Friday Overview The Social Work Case Manager is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness. The role is part of the Post-acute Discharge Coordination Program, which aims to enhance post-acute care for members following a hospital stay, focusing on reducing readmissions, decreasing length of stay (LOS), and emergency room visits. The post-acute care coordination staff play a crucial role in ensuring a smooth transition for members moving from hospital to home or other care settings. Key Responsibilities Utilizing existing clinical rounds and Care Management (CM) programs. Incorporating pharmacy programs and digital solutions to bridge care connections. Coordinating timely post-discharge follow-up services and Home Health authorizations. Initiating referrals to address social determinants of health. Assess both the member's and family caregiver's needs through a comprehensive evaluation to ensure all necessary support and resources are in place. Develop and coordinate a detailed discharge plan in collaboration with the family and hospital provider team, ensuring continuity of care as the member leaves the hospital. Work closely with the hospital's care coordinator to facilitate effective communication among all parties involved, including medical staff, family members, and external providers. Help transition the members to community-based providers and services, ensuring they have access to the appropriate care and support systems post-discharge. Provide follow-up and support to address any new or changing needs, ensuring that the member's care plan is adaptable and responsive to their evolving situation. Minimum Requirements Requires MS (at a minimum) in Social Work and minimum of 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background. Current unrestricted LMSW license in the state of Maryland required. Preferred Skills, Capabilities and Experiences Experience working with the Medicaid population preferred. Experience in coordinating care for individuals with chronic, complex conditions for discharge planning purposes. Bilingual or multi-language skills preferred. Location Maryland Salary Range For candidates working in person or virtually in the below location, the salary range for this specific position is $67,284 to $100,926. Benefits Comprehensive benefits package Incentive and recognition programs Equity stock purchase and 401k contribution (subject to eligibility requirements) Other benefits subject to eligibility as per company policy Additional Requirements All new candidates in certain patient/member-facing roles are required to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. The company operates in a Hybrid Workforce Strategy. Associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Equal Employment Opportunity Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. #J-18808-Ljbffr