Social Work Case Manager (LMSW) Maryland Medicaid

• Key Interventions:
  
  • 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.
    
• Identifying Needs: Assess both the member's and family caregiver's needs through a comprehensive evaluation to ensure all necessary support and resources are in place.
  
• Discharge Planning: 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.
  
• Collaboration: Work closely with the hospital's care coordinator to facilitate effective communication among all parties involved, including medical staff, family members, and external providers.
  
• Community Transition : Help transition the members to community-based providers and services, ensuring they have access to the appropriate care and support systems post-discharge.
  
• Ongoing Support: 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.
  

• 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.
  

• 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.
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, 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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 aplitrak.com 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