Social Workers - Hybrid (Per Diem)

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible.

Job Summary:

The Social Worker is a member of the interdisciplinary care management team responsible for assessing and addressing members' psychosocial, behavioral, and social determinants of health needs. This role supports members and their families in navigating health, social service, and entitlement systems; promotes effective adjustment to illness or disability; and facilitates access to community resources to improve health outcomes, independence, and quality of life.

Essential Functions:

• Conduct comprehensive psychosocial assessments to identify member needs, barriers to care, coping abilities, and social determinants of health.
• Develop, implement, and update care plans in collaboration with care managers, physicians, and interdisciplinary team members.
• Provide counseling, care coordination, and resource navigation to members and caregivers to support adherence to treatment plans and improve functional outcomes.
• Coordinate with internal teams and external partners (e.g., community agencies, skilled nursing facilities, physicians) to ensure continuity of care.
• Perform standardized assessments (e.g., cognitive, depression, suicide risk, functional status) as appropriate to support care planning.
• Assist members in accessing entitlement programs and community-based services.
• Monitor and document member progress, interventions, and outcomes in accordance with regulatory and organizational requirements.
• Participate in interdisciplinary team meetings and case conferences.
• Maintain timely, accurate, and complete documentation of all member interactions and services.
• Perform any other job related duties as requested.

Education and Experience:

• Master's degree in Social Work (MSW) from an accredited program required
• One (1) year of experience in healthcare or acute care setting required
• Experience in managed care or home health care preferred

Competencies, Knowledge and Skills:

• Knowledge of social determinants of health and their impact on member outcomes
• Understanding of applicable regulatory standards (e.g., CMS, Joint Commission, managed care requirements)
• Strong assessment, problem-solving, and care coordination skills
• Ability to communicate effectively with diverse populations, including geriatric and medically complex members
• Demonstrated ability to navigate community resources and entitlement programs
• Strong documentation and organizational skills
• Ability to work collaboratively across interdisciplinary teams
• Proficiency in basic computer applications and electronic documentation systems

Licensure and Certification:

• Active licensure as a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) in state of New York required

Working Conditions:

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
  Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
  Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
  May be required to travel greater than 50% of time to perform work duties.
  Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer
  Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
• Routine travel required

Compensation Range:
$62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Hourly

Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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