Social Work Case Manager

Overview

• Provide comprehensive case management services to members, addressing medical, social, psychological, physical, and spiritual needs.
• Collaborate with primary care providers, caregivers, and interdisciplinary teams to develop and monitor individualized care plans.
• Offer bilingual support in Mandarin or Cantonese to meet the needs of diverse populations.
• Participate in monthly in-office meetings and initial training sessions in Lower Manhattan.
• Work remotely after completing training, with occasional in-office requirements.
• Ensure compliance with federal and state managed care regulations and guidelines.
• Utilize knowledge of utilization management processes and case management principles effectively.
• Leverage proficiency in Windows, Word, and Excel for documentation and communication.

Key Responsibilities & Duties

• Develop, implement, and monitor care plans tailored to individual member needs.
• Coordinate with healthcare providers and caregivers to ensure comprehensive care delivery.
• Conduct assessments to identify medical, social, and psychological needs.
• Provide bilingual support in Mandarin or Cantonese for effective communication.
• Attend monthly in-office meetings and complete required training sessions.
• Maintain accurate documentation and reports using Windows, Word, and Excel.
• Ensure adherence to managed care regulations and guidelines.
• Support members in navigating healthcare systems and accessing necessary resources.

Job Requirements

• Master of Social Work degree required; LMSW or LCSW preferred for additional benefits.
• Minimum of two years of experience in MLTC or Medicare managed care.
• Proficiency in utilization management processes and case management principles.
• Knowledge of federal and state managed care regulations and guidelines.
• Strong written and verbal communication skills; bilingual Mandarin/Cantonese preferred.
• Proficiency in Windows, Word, and Excel for documentation and communication.
• Ability to work remotely with occasional in-office requirements.
• Commitment to providing holistic care to diverse populations.