Social Work Case Manager (LMSW) Maryland Medicaid

About the role

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.

Responsibilities

• Key Interventions:
  • Utilizing existing clinical rounds and Care Management (CM) programs.
  • Incorporating pharmacy programs and digital solutions to bridge care connections.
  • Coinciding timely post-discharge follow-up services and Home Health authorizations.
  • Initiating referrals to address social determinants of health.
• Identifying Needs:
  • Absorbing 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:
  • Developing and coordinating a detailed discharge plan in collaboration with the family and hospital provider team, ensuring continuity of care as the member leaves the hospital.
• Collaboration:
  • Working 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:
  • Helping transition the members to community-based providers and services, ensuring they have access to the appropriate care and support systems post-discharge.
• Ongoing Support:
  • Providing 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.

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.

Benefits

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

Pay

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

Schedule

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