Social Worker Care Coordinator - Remote in Northern Virginia

This position is regionally/locally based and meets with members to ensure ongoing care coordination services are identified and met using a person-centered approach. Provides communication and education regarding available services and community resources, communication with members on a monthly basis, or more frequently as requested, depending on the individual’s needs and preferences. For LTSS members, contact shall be at a frequency of at least every 90 days, even if the member requests less frequent contact. Essential Functions 
  • Acts as the primary point of contact for members and the Interdisciplinary Care Team (ICT); leads ICT process and meetings; facilitates communications among relevant parties.
  • Monitors the provision of services as outlined in the Individual Care Plan (ICP) and achievement of desired outcomes.
  • Provides communication and education regarding available services and community resources in a mode and manner that is culturally and developmentally appropriate and considers the member’s physical and cognitive abilities and level of literacy; assists member in developing self-management skills to effectively access and use services.
  • Manages assigned case load.
  • Participates in the Health Risk Assessment (HRA) process.
  • Assesses for appropriate changes or additions to services, facilitates referrals for the members, and ensures the ICP is updated as necessary.
  • Ensures that appropriate mechanisms are in place to receive enrollee input.
  • Ensures member complaints and grievances are submitted according to the policies and procedures.
  • Actively participates during care transitions.
  • Other duties as assigned.
Minimum Qualifications:
  • Bachelors degree in either Human Services, Healthcare or related field.
  • Must be an independently licensed behavioral health clinician (LCSW, LPC or LMHP).  If unlicensed, must obtain independent licensure within 1 year of hire date.
  • Must have at least 5+ years of clinical experience working directly with individuals who meet the Managed Long Term Services and Supports (MLTSS) target population criteria.
Organization: 
Magellan Health
City: 
Alexandria
State: 
VA
Date Posted: 
Monday, December 18, 2017
Date Closing: 
Friday, January 19, 2018
Contact Name: 
Jamie Riese
Contact Email, Phone, or Address: 
jriese@tmgwisconsin.com
Full or Part Time: 
Full Time