Full employer posting
This role is eligible for a $10,000 sign on bonus!
Responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care to help achieve their optimal level of independence and enhance quality of life. Essential
In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment. Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources.
Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives. Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards.
Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community resources. Coordinates care across the care continuum for members receiving behavioral health and substance abuse services. Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
Qualifications
Experience
Minimum two (2) years of experience in case management or three (3) years of clinical experience are required. For Virginia Medicaid: Minimum one (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria: Individuals involved with Child Protective Services, foster care, and/or former foster youth Individuals with Substance Use Disorder Youth with a mental health diagnosis Minimum one (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (Individuals with Substance Use Disorder, Youth with a mental health diagnosis, Individuals involved with Child Protective Services, foster care, and/or former foster youth) Education Masters degree in social work (MSW) required.
License, Certification, Registration This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
Independent Clinical Social Worker License (District of Columbia) within 6 months of hire Licensed Clinical Social Worker (Virginia) within 6 months of hire Licensed Clinical Social Worker - Certified (Maryland) within 6 months of hire Additional
Must have reliable transportation and be able to complete in-person assessments in the home and community. (For anyone hired after April 1, 2025). Exceptional oral and written communication skills to interact with diverse members and providers and present care plan.
Exceptional listening skills to assess needs and identify problems. Cultural humility to appreciate unique perspectives, backgrounds, and differences.
Case Manager Certificate (CCM) preferred. Pediatrics: Minimum one (1) year of recent experience with pediatric/adolescent population preferred. Perinatal: Minimum one (1) year of recent experience with recent labor and delivery of predominately high-risk obstetrics or perinatal population preferred.
Renal: Minimum one (1) year of recent experience with nephrology or renal population preferred. Strong Computer skills, communication skills and experience with Electronic Medical records within your background preferred. Scheduled Weekly Hours: 40
Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job
Full-time Job Type: Standard Worker Location: Flexible Employee Status: Regular Employee Group/Union Affiliation: M38|UFCW|Local 400 Job Level: Individual Contributor Department: New Carrolltn Admin - UR-Critical Care-Apache Prgm - 1808
$48.91 - $64.24 / hour Travel: Yes, 25 % of the Time Flexible: Work location is on-site at a KP location, with the flexibility to work from home.
About the role
Responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care to help achieve their optimal level of independence and enhance quality of life.