Social Work Case Manager

Social Work Case Manager (LCSW, LICSW or LMHC)

Baystate Health/Health New England Services, a nationally recognized leader in healthcare quality and safety and is looking for a Social Work Case Manager to join our team.

Resume required with application

SCHEDULE:

• 40-hours a week
  
• Monday-Friday
  
• No weekends, no holidays
  

LOCATION:

• Remote Work Option - Must live in MA or CT for commutable requirements
  

THE ADVANTAGES OF WORKING WITH BAYSTATE!

• Excellent Compensation
  
• High-quality, low-cost medical, dental and vision insurance
  
• Generous PTO - up to 25 days in the first year, with scheduled earned increases
  
• Continuing education support and reimbursement
  
• First Time Home Buyers Financial Packages
  
• Farm Share Memberships
  
• 403b retirement company match & annual company contribution increase based on years of service
  
• Free money coach advice from a certified professional
  
• Wellbeing programs that include but are not limited to mental, physical, and financial health
  
• Adoption assistance
  
• Pet, home, auto and personal insurance
  
• Life insurance
  
• Work-life integration
  
• Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more!
  

QUALIFICATIONS:

• Minimum Requirements:
  

• Master's degree in Social Work, Psychology, Education, Public Health or a related field with a minimum of three years of experience working with individuals with complex medical, behavioral and psychosocial needs.
  
  
• Current state licensure as a social worker or related field
  
  
• Experience in patient education working with individual patients
  
  

• Knowledge of chronic health conditions preferred
  
  

• Must be self -starter willing to proactively seek out and learn about etiology, care and treatment for many health conditions
  
  

• Excellent verbal and written communication skills in both English and Spanish preferred
  
  

• Computer literacy and ability to navigate through computer systems
  
  

• Skilled at deliver presentations
  
  

• Sound assessment and decision-making skills, and highly ethical
  
  

• Excellent critical thinking and organizational skills, with attention to detail
  
  

• Excellent time management skills and ability to manage multiple priorities
  
  

• Strong teamwork skills; ability to work collaboratively and consultatively with team members
  
  

• Ability to work independently and manage an assigned caseload
  
  

For more information, please visit us online at: baystatehealthjobs.com or interact with us socially at facebook.com/BaystateCareers or on Twitter @BaystateCareers

Summary:

The Social Work Case Manager collaborates with the Behavioral Health Manager, Nurse Case Manager, Care Coordinators, Behavioral Health Care Managers, and medical health clinicians to deliver social work case management services to members in compliance with current accreditation requirements and quality standards, and within the scope of the members' benefit package and per HNE policies. Arrange, coordinate and advocate for services to meet the psychosocial needs of the member and if indicated, the family and caregivers of the member. Supports the HNE mission by developing partnerships with and providing personal and accountable service to members and providers. Impact positive health outcomes for members and positive financial outcomes for HNE. Keep abreast of professional standards, new technologies and proactively seek out new learning. Available to cover weekends, evening hours and Holidays as needed to ensure organizational compliance with requirements from NCQA, DOI or employer group contracts. Also will provide minimum UM support as needed.


Essential Functions:


Member Support and Education

• Outreaches to assess member's social, emotional, environmental, financial and support needs which are impacting health outcomes
  
  

• Provides or arranges for resources necessary to meet members' psychosocial needs
  
  

• Effectively utilizes methods and models of social work intervention to engage members in care management
  
  

• Provides ongoing health coaching and support, self-management education, condition-specific education, care coordination, and resources and materials
  
  

• Assists members when necessary, in placing calls, completing applications, and advocating for available supports/services
  
  

• Assists members and providers with transition of care, referral management, care coordination, and benefit management
  
  

• Links members to appropriate community resources for health and health-related services consistent with regulatory, contractual, and corporate requirements
  
  

• Researches and shares community resources with members and the case management team
  
  

• Promotes and encourages member collaboration with the primary care provider, other health care providers and social service agencies
  
  

• Facilitates interdisciplinary consultation on members' behalf through participation in rounds, team meetings and clinical reviews
  
  

• Conducts face-to -face visits with selected members as appropriate
  
  

• Completes documentation in the medical management information system in a timely manner and in keeping with internal policy and accreditation standards
  
  

• Conducts assessments via phone and develop a service plan which outlines clear goals, time frames and responsibilities
  
  

• Adheres to departmentally established productivity standards
  
  

• Maintains HIPAA standards and confidentiality of protected health information
  
  

• Adheres to departmental/organizational policies and procedures
  
  

• Understands the concepts, features, benefits, disclosures and provisions of government health insurance programs
  
  

Internal Customer Support and Education

• Works collaboratively and cohesively with all members of the CSI Team in order to coordinate a continuum of care for members consistent with the members' health care goals and needs
  
  

• Facilitates member communication with internal partners such Member Services
  
  

• Provides support for BH UM responsibilities as needed
  
  

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum - Midpoint - Maximum
$66,081.00 - $75,982.00 - $89,876.00

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.