ACHN Social Work Care Manager

About the role

This position performs care management for recipients assigned by the State of Alabama Medicaid Office. The role involves developing and acting on sound care plans in a timely manner to improve recipients' overall health, often through face-to-face meetings to understand their challenges. The position primarily serves home care and community-based populations needing care management and transitional services from inpatient facilities.

Responsibilities

• Perform care management for Medicaid recipients assigned by the State of Alabama Medicaid Office.
• Develop and implement timely, effective care plans to improve recipients' health outcomes.
• Conduct face-to-face meetings with recipients to assess challenges and needs.
• Provide transitional services for home care and community-based populations moving from inpatient facilities.
• Document electronic case records, including writing care plans and SMART goals.
• Analyze clinical situations and make informed, independent decisions.
• Collaborate with medical providers and community resource agencies.
• Travel as required for job-related duties.

Requirements

• Bachelor of Science in Social Work (BSW) or Master of Social Work (MSW).
• Active Alabama license in good standing as a Licensed Baccalaureate Social Worker (LBSW).
• Must live and work within the designated region or adjoining county.
• Strong verbal and written communication skills to engage recipients in their care plans.
• Ability to manage a heavy caseload and document electronic case records thoroughly.
• Experience analyzing clinical situations and exercising independent judgment.
• Experience working with medical providers and/or community resource agencies.

Qualifications

• Two years of complex pediatric experience preferred.
• Experience working in a home setting as a Case Manager or Care Coordinator preferred.
• Knowledge of Alabama Medicaid regulations and guidelines preferred.
• Knowledge of community-based agencies and resources is preferred.