Community Based Care Manager - Social Worker

Role Overview

The Community Based Care Manager collaborates with members of an inter-disciplinary care team, providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports.

What You Will Do

Facilitate communication, coordinate care and service of the member through assessments, identification and planning, and assist the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs.

Why It Might Be a Fit

Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence, ability to communicate effectively with a diverse group of individuals, and strong advocate for members at all levels of care.

Requirements

• Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience
• Licensure as a Registered Nurse, Professional Clinical Counselor or Social Worker
• A minimum of three (3) years of experience in nursing or social work or counseling or health care profession
• Three (3) years Medicaid and/or Medicare managed care experience

Benefits

• Bonus tied to company and individual performance
• Comprehensive total rewards package
• Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
• Influenza vaccination required
• Reasonable accommodations to qualified individuals with disabilities or medical conditions