Primary Responsibilities
This position performs care management for eligible individuals (EIs) assigned by the State of Alabama Medicaid Office. AlaHealth provides this care management for EIs enrolled in programs designated by State of Alabama Medicaid.
Performance guidelines are in place to ensure that sound care plans are developed and acted upon in a timely manner so as to improve the EIs overall health.
This care management frequently involves face-to-face meetings with the EIs to gain a full understanding of their challenges.
This position will primarily provide services to home care and community based populations identified as needing care management and transitional services from inpatient facilities.
This is a field based position with required daily travel in the Central region of the Alabama Coordinated Health Network (ACHN).
The incumbent will support members in their local area. The Central Region includes the following counties : Chilton, Perry, Marengo, Wilcox, Dallas, Autauga, Elmore, Lowndes, Montgomery, Butler and Crenshaw counties.
The incumbent should live within or in close proximity to the counties outlined in the coverage area.
Summary of Qualifications
- Bachelors of Science in Social Work
- Active Alabama license in good standing as a Licensed Baccalaureate Social Worker (LBSW)
- Experience analyzing clinical situations and making informed decisions
- Experience in a position demonstrating exceptional written, verbal and interpersonal communications
- Experience in a position exercising independent judgement and decision making
- Experience in a position working with medical providers and / or community resource agencies
- Willingness to travel as required for the job
- Two years of complex pediatric experience is preferred
- Experience working in a home setting as a Case Manager or Care Coordinator is preferred
- Knowledge of Alabama Medicaid regulations and guidelines is preferred
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