Coordinates and manages the care of patients with chronic or complex conditions
Works collaboratively with physicians, interdisciplinary teams, individual patients and families to promote positive patient outcomes and ensures continuity of care
Assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to support the individual’s health needs and goals
Addresses barriers and promotes optimal allocation of resources while balancing quality and cost management for an assigned population/panel of patients
Advocates, educates, and coaches patients, families, and/or caregivers on treatment options, disease management, medication adherence, community resources, and psychosocial concerns
Facilitates communication and coordination among members of the health care delivery team
Monitors and engages patients across the continuum of care, including facilitating transitions of care and providing support to prevent readmissions and gaps in care

Master of Social Work (MSW) from an accredited institution (degree verification required)
Current Licensed Clinical Social Worker (LCSW) license in state of practice
Basic computer proficiency, including familiarity with word processing and spreadsheet software
Strong written and verbal communication skills
Demonstrated ability to apply critical thinking skills
Certified Case Manager (CCM) or other relevant certification as determined by the position (preferred)
Two (2) years of social work experience in an outpatient care setting (preferred)
One (1) year of care management experience (preferred)
Experience in chronic disease management (preferred)
Knowledge of value-based care models and principles (preferred)

generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged

Social Work Care Manager

Key skills