Licensed Master Social Work Case Manager

About the Role

The Licensed Masters Social Work Case Manager will work in the Clinical Services and Population Health area, providing support activities for members. This role involves significant coordination with all departments, providers, and community-based organizations to promote effective, efficient care.

Responsibilities

• Assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual’s health needs through the use of plan benefits and community resources to facilitate appropriate cost-effectiveness and cost containment.
• Serves as a liaison facilitating a collaborative process to promote quality of care, cost-effectiveness, accessibility, and appropriateness of service levels.
• Practices within the scope of licensure and adheres to policies, procedures, regulations, URAC standards, and individual state regulations; ensures compliance, appropriate level of care, and patient safety.
• Remains current with up-to-date social work licensing requirements and continuing education.
• Proactively works with referrals from multiple sources to identify appropriate candidates for case management, explaining services, ensuring voluntary agreement, and maintaining a minimum patient caseload in a timely manner.
• Serves as a resource for non-clinical staff.
• Performs other duties as assigned.
• Travel to site or home visits may be required (valid driver’s license required).

Requirements

• Master’s degree in Social Work.
• Licensed Master Social Worker (LMSW) with a current active state license in good standing in the state(s) where job duties are performed.
• Case Management Certification required (must obtain within three (3) years if not held prior to employment).
• Valid Driver's license.
• Arkansas Licensed Clinical Social Worker (LCSW) preferred.
• Minimum two (2) years' clinical practice experience in direct clinical care with patients in a hospital, facility, or community-based environment.
• Minimum two (2) years' experience in case management, home health, critical care, social work, discharge planning, or utilization review.

Skills

• Professionalism and Ethical Practice
• Critical Thinking and Professional Judgment
• Embrace Diversity and Advance Human Rights/Socioeconomic Justice
• Excellent verbal and written communication skills
• Proficiency in Microsoft Office (Word, Excel, Outlook), including navigating multiple systems and keyboarding
• Ability to make sound judgments and decisions based on facts and guidelines
• Ability to build collaborative relationships
• Attention to detail
• Ability to interpret complex documentation
• Ability to work independently with little supervision
• Active Listening and Analytical Problem Solving
• Collaborative Communications and Cross-Functional Planning
• Data Analysis and Ethical Standards
• Interpersonal Relationship Management
• Management Techniques
• Oral and Written Communications
• Problem Sensitivity and Social Awareness
• Support Coordination

Certifications

• Case Manager Certified (CMC) – The Commission for Case Manager Certification (CCMC)
• Certified Case Manager (CCM) – The Commission for Case Manager Certification (CCMC)

Security Requirements

This position is identified as level three and must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual. The integrity of information must be maintained as outlined in the company Administrative Manual.

ADA Requirements

This role is classified as a General Office Worker, Semi-Active, Campus Travel. It involves periodic lifting and carrying requirements up to 40 lbs and routine travel within walking distance of the primary work assignment as essential functions of the job.