About this role
Role Overview
- Conduct comprehensive assessments of members' physical, mental, and social needs to develop individualized care and discharge plans.
- Coordinate with healthcare providers, social service agencies, and community resources to facilitate access to Medicaid and other benefits.
- Monitor members' progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
- Provide education and support to members and their families regarding available services, treatment options, and long-term care planning.
- Maintain detailed documentation and case records in compliance with regulatory standards and organizational policies.
Requirements
- Bachelor’s degree in Social Work, Human Services, Nursing, or a related field.
- Experience in case management within healthcare or social services settings.
- Knowledge of Medicaid policies and procedures.
- Relevant experience may substitute for the educational requirement on a year-for-year basis.
- Master’s degree in Social Work (MSW) or related discipline preferred.
- Certification in Case Management (CCM) or equivalent preferred.
- Experience working with diverse populations in community-based settings preferred.
- Familiarity with electronic health records (EHR) and care coordination software preferred.
- Training in trauma-informed care or behavioral health interventions preferred.