Licensed Social Worker - Health Plan
TotalMed
•$90K *
Orange, CA 92867 In-Person
1 month ago
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Job Description
Licensed Social Worker-Health Plan
Job ID #1787301
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About this Role
The Care Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs.
Job details
$43.66 / hour
Orange, California
New
Profession: Licensed Social Worker
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 04/14/2025
Apply
Responsibilities
• Assesses member needs using a standardized health needs assessment or health risk assessment with member.
• Performs comprehensive, disease specific, clinical assessments of all identified cases, at minimum, annually
• Develops and implements a member's specific care plan which includes prioritized SMART goals.
• Care plan will be continuously reviewed, modified and updated to reflect the member's needs, at minimum, annually or upon change in condition.
• Schedules follow-ups to assess progress towards goals and identifies barriers to meeting goals.
• Provides regular outreach to assigned members along with members from a worklist and evaluates quality of service given to members according to department contact standards.
• Coordinates care and services with members, members' family members/representatives and other providers, as appropriate, including Community Supports and LTSS.
• Conducts face-to-face meetings at settings outside of locations such as in hospitals, skilled nursing facilities, long-term acute care hospitals, recuperative care and in member's home settings
• Communicates with Member's physicians, specialists, community agencies and vendors to ensure coordination of services.
• Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to Long-Term Support Services
Required Qualifications
• Bachelor's degree in social work, psychology, gerontology, public health or social science
• 5 years of clinical experience and/or managed care experience required.
• Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 20% of the time or more.
• Licensed Vocational Nurse, Licensed Marriage and Family Therapist, or master's degree in social work, gerontology, public health or related field preferred
• Experience with behavioral health or substance use case management preferred
• Certified Case Manager (CCM) certificate preferred
• Bilingual in English and Arabic, Chinese, Farsi, Korean, Spanish, or Vietnamese preferred
Job ID #1787301
| Share
About this Role
The Care Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs.
Job details
$43.66 / hour
Orange, California
New
Profession: Licensed Social Worker
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 04/14/2025
Apply
Responsibilities
• Assesses member needs using a standardized health needs assessment or health risk assessment with member.
• Performs comprehensive, disease specific, clinical assessments of all identified cases, at minimum, annually
• Develops and implements a member's specific care plan which includes prioritized SMART goals.
• Care plan will be continuously reviewed, modified and updated to reflect the member's needs, at minimum, annually or upon change in condition.
• Schedules follow-ups to assess progress towards goals and identifies barriers to meeting goals.
• Provides regular outreach to assigned members along with members from a worklist and evaluates quality of service given to members according to department contact standards.
• Coordinates care and services with members, members' family members/representatives and other providers, as appropriate, including Community Supports and LTSS.
• Conducts face-to-face meetings at settings outside of locations such as in hospitals, skilled nursing facilities, long-term acute care hospitals, recuperative care and in member's home settings
• Communicates with Member's physicians, specialists, community agencies and vendors to ensure coordination of services.
• Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to Long-Term Support Services
Required Qualifications
• Bachelor's degree in social work, psychology, gerontology, public health or social science
• 5 years of clinical experience and/or managed care experience required.
• Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 20% of the time or more.
• Licensed Vocational Nurse, Licensed Marriage and Family Therapist, or master's degree in social work, gerontology, public health or related field preferred
• Experience with behavioral health or substance use case management preferred
• Certified Case Manager (CCM) certificate preferred
• Bilingual in English and Arabic, Chinese, Farsi, Korean, Spanish, or Vietnamese preferred