CNSI and Kepro are now Acentra Health!  Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. 

Acentra is looking for a Case Manager, Social Work to join our growing team.

Job Summary:

The Case Manager, Social Worker will evaluate beneficiaries' needs, develop individualized care plans, and coordinates healthcare team members to ensure optimal client outcomes while adhering to payer requirements. They also facilitate integrated case and disease management activities based on CMSA principles, aiming to stabilize beneficiaries' health and avoid long-term care placement.

Job Responsibilities:

Assess, plan, implement, monitor, and evaluate options and services to affect an appropriate, individualized plan with the beneficiary across the continuum of care. Utilize clinical knowledge and competence, communication skills, problem-solving, and conflict resolution to ensure optimal beneficiary outcomes with consideration to client requirements effectively. Develop beneficiary-centered care plans. Demonstrate shared accountability between beneficiaries, caregivers, and providers. Work collaboratively with the beneficiary, provider, and other Funds Health Care team members to coordinate care. Address identified gaps in care or compliance. Maintain strict standards for client confidentiality and client-related information.  Comply with all organizational, state, and federal regulations and policies on confidentiality. Manage caseload to ensure all required documentation and entry of assessment results into the web-based database are completed accurately and timely, following regulatory requirements and company policies and procedures. Maintain open communication with all appropriate parties. Pursue ongoing education, certification, and self-development to remain current with case management standards.