Job Description

This role is eligible for a $10,000 sign on bonus!

Job Summary:

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 Responsibilities:

• 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.

Basic Qualifications:

Experience

• Basic Qualifications:

• 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 Requirements:

• 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.

Preferred Qualifications:

• 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. 

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