Anticipated End Date:
2026-07-22

Position Title:
Social Work Case Manager (LMSW) Maryland Medicaid

Job Description:

Location This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law.

Work Hours: 8:30am - 5:30pm, Monday - Friday

The role of the Post-acute Discharge Coordination Program aims to enhance post-acute care for members following a hospital stay, focusing on reducing readmissions, decreasing length of stay (LOS), and emergency room visits. The post-acute care coordination staff play a crucial role in ensuring a smooth transition for members moving from hospital to home or other care settings.

The Social Work Case Manager is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness. Primary duties may include, but are not limited to:

• Key Interventions:
  
  • Utilizing existing clinical rounds and Care Management (CM) programs.
  • Incorporating pharmacy programs and digital solutions to bridge care connections.
  • Coordinating timely post-discharge follow-up services and Home Health authorizations.
  • Initiating referrals to address social determinants of health.
• Identifying Needs: Assess both the member's and family caregiver's needs through a comprehensive evaluation to ensure all necessary support and resources are in place.
• Discharge Planning: Develop and coordinate a detailed discharge plan in collaboration with the family and hospital provider team, ensuring continuity of care as the member leaves the hospital.
• Collaboration: Work closely with the hospital's care coordinator to facilitate effective communication among all parties involved, including medical staff, family members, and external providers.
• Community Transition: Help transition the members to community-based providers and services, ensuring they have access to the appropriate care and support systems post-discharge.
• Ongoing Support: Provide follow-up and support to address any new or changing needs, ensuring that the member's care plan is adaptable and responsive to their evolving situation.

Minimum Requirements:

• Requires MS (at a minimum) in Social Work and minimum of 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.
• Current unrestricted LMSW license in the state of Maryland required.

Preferred Skills, Capabilities and Experiences:

• Experience working with the Medicaid population preferred.
• Experience in coordinating care for individuals with chronic, complex conditions for discharge planning purposes.
• Bilingual or multi-language skills preferred.

For candidates working in person or virtually in the below location, the salary* range for this specific position is $67,284 to $100,926

Location: Maryland

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law

Job Level:
Non-Management Exempt

Workshift:

Job Family:
MED > Licensed/Certified Behavioral Health Role

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.