Licensed Clinical Social Worker, New Century Health Plan

Description

Step into a vital role at New Century Health Plan and coordinate the care for our Medicare Advantage members. As a Clinical Social Worker, you will focus on addressing members' complex social needs to help improve health outcomes and streamline their care journey.

In this position, you will work closely with members, their families, community organizations and healthcare providers. Your responsibilities will include :

• Providing a range of social work services responsive to identified problems (e.g., psychosocial functioning, adaptation to illness, facilitating services, protective services, post-hospital planning, etc.)
• Maintaining assigned care management caseload with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and / or substance abuse and complex social issues (e.g. homelessness, domestic violence).
• Assessing members' healthcare needs through comprehensive psychosocial assessments.
• Collaborating with Nurse Care Managers to provide support to members enrolled in the Complex Care Management and Disease Management programs.
• Providing education and resources to members about accessing services, community resources, and self-management skills and strategies.

Salary Range : $54.54-$65.18 / hourly

Qualifications

We're seeking a detail-oriented, intrapersonal, licensed professional

with : Required :

Master's Degree in Social Work, or equivalent

from a school accredited by the Council on Social Work Education

Current unrestricted license (LCSW) with the

California Board of Behavioral Sciences

Three or more years of Case Management / Care

Coordination experience in a healthcare setting

Two or more years of experience in management of

individuals with complex acute or chronic conditions and psychosocial needs

Ability to triage member health and safety risks

and prioritize interventions

Proficiency in electronic health records (EHR)

and care management software

Ability to assess and analyze complex cases to

develop individualized care plans and interventions

Exceptional interpersonal, written, and verbal

communication skills

Preferred :

At least one year of experience in a managed

care or health plan setting, preferred

Minimum of one year of experience with Medicare

Advantage plans and knowledge of CM regulations and NCQA requirements, highly

desired