Care Manager I (Social Work)

Other jobs >> General

Negotiable

Permanent

Description

Care Manager I (Social Work)-CMS-LCSW



WC



Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.



- Develop, assess and adjust, as necessary, the care plan and promote desired outcome



- Assess the members current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options



- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients



- Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet members needs



- Provide patient and provider education



- Facilitate member access to community based services



- Monitor referrals made to community based organizations, medical care and other services to support the members overall care management plan



- Actively participate in integrated team care management rounds



- Identify related risk management quality concerns and report these scenarios to the appropriate resources



- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems



Education/Experience:



Bachelors degree in Social Work. 2+ years of social work experience in an acute care or community setting.



Knowledge of government sponsored managed care programs preferred.



Licenses/Certifications: Current states LMSW or LCSW license.



Licenses/Certifications: MS unrestricted license as Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage & Family Therapist (LMFT) or Registered Nurse (RN) License. Masters degree required with Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage & Family Therapist (LMFT).



For FL CMS program LCSW required.



Valid Drivers License Required.



Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.



Clinical & Nursing



USA-Florida-West Palm Beach



Sunshine State Health Plan



Full-time
  • 1
  • Negotiable
  • None
  • None
  • Re-72419
  • Permanent
  • 2

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