Social Worker MSW Care Manager Priority Health

Overview Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise and current knowledge in care and management of a caseload of members of varying complexity, seeking to improve member, family, and health systems/community outcomes through educational concepts/skills and preventive care in a managed care environment. Collaborates with providers, community organizations, and systems to coordinate care and ensure members and their families are connected to resources needed to promote health and wellbeing, and advocate and address barriers to access needed services. Home Visits HOME VISITS in Macomb and Wayne County. Hybrid status. Essential Functions Develops and prioritizes plans to meet needs and provides services. Follows up with families and community agencies to evaluate effectiveness of services provided and plan for future needs. Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum. Assesses internal and external referrals to meet identified member and their family’s needs, level of intensity, mandated reporting referrals, insurance benefits, and other member resources. Communicates and collaborates with member/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and promote optimal health in a cost-effective manner. Measures member care outcomes, interprets reports, and analyzes data trends for groups of members. Documents member data, plan, interventions and outcomes according to department guidelines. Ensures processes and services are continuously monitored for quality, cost effectiveness, and efficiency; engages in process and quality improvement activities. Makes and implements recommendations to improve operational efficiency and to implement new services for areas of responsibility. Assesses the educational needs of members, families and members of the health care team and develops and implements appropriate teaching strategies or makes referrals. Maintains knowledge of current trends and developments in the field. Qualifications Required Master’s Degree Social Work 5 years of relevant experience LMSW - clinical and/or case management/managed care or related field Master Social Worker (MSW) - State of Michigan Upon Hire required CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred Legal Notice Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. We advocate for equity as we care for our patients, our communities, and each other. We invite those that share in our commitment to join our team. #J-18808-Ljbffr Priority Health