We are seeking a dynamic Social Worker who will be responsible for providing behavioral health services for the chronically ill or at-risk population in a community-based setting with an overallobjective to help member’s live fuller and more meaningful lives and managing members with behavioral health, substance abuse, and/or psychosocial conditions/issues. This individual will also consult with all members of the team on behavioral health, substance abuse and/or psychosocial issues, facilitate member adoption of strategies to promote physician-recommended behavior change and help members improve health outcomes with feedback from the medical team and EmblemHealth’s Case Management team
as needed.

Role and Responsibilities

Perform member outreach – virtually, telephonically and in-person, individual needs assessment, education on early warning signs of disease prevention, and identifying members in potential need of care. Provide support services as well as social services supports from other organizations (community based and otherwise). Provide assessment, planning, implementation, coordination, monitoring, and evaluation to ensure member receives care management services and support required to meet psychosocial, educational and health care needs. Assist members with the coordination of services from various settings as appropriate including supporting discharge from acute setting to home and acute setting to alternate settings. Provide care coordination throughout the continuum of care by including the member, member’s family, and providers in the process. Support activities of other Neighborhood Care team members. Participate in all other projects relating to community clinical programming as identified by Regional Manager, AVP in Neighborhood Care and Medical Management Leaders. Participate as part of the Quality and Customer Experience team by providing feedback and ideas to continually
improve clinical metrics and other customer experience. Other duties/responsibilities as directed, assigned, or required.

Qualifications

Master’s in social work (LMSW) 4-6 years’ care management and/or managed care experience required Knowledge of community resources access required Prior health plan experience preferred Excellent communication skills (verbal, written, presentation, interpersonal) required Detail oriented, with strong organizational and problem-solving skills required Strong motivational interviewing skills preferred Strong working knowledge of MS Office (word processing, database/spreadsheet, presentation, e-mail) required Bilingual English/Spanish or English/Creole preferred Additional Information Job Type: Standard Schedule: Full-time Employee Status: Regular Requisition ID: 1000002059 Hiring Range: $63,000-$110,000