Social Worker, Care Management - Salinas

Responsibilities

• Provide observation, ongoing assessment, and therapeutic intervention consistent with physical and psychological status.
• Awareness of services available to patients and their families is an important part of this assessment.
• Work collaboratively with physicians and community resources including pharmacists, nurses, registered dieticians, and other disciplines to address patient needs as identified in assessments.
• Assess and screen members for behavioral health concerns (depression / substance abuse) utilizing screening tools, including the PHQ2 and 9 Depression screenings, and ensure they are receiving appropriate behavioral health interventions.
• Facilitate any necessary follow-up or referrals for behavioral health needs with local behavioral health providers.
• Develop, facilitate, and communicate a plan of care in partnership with the member, family (or designated representatives), providers, and multidisciplinary care team to assess the options of care including use of benefits and community resources.
• Update care plan to include progress towards achieving established goals and self-management activities.
• Cook up necessary referrals and authorizations pertinent to patient care and well-being.
• Utilize developed systems, processes, and initiatives to engage patients in relevant social activities necessary to promote wellness and care at the right place and time.
• Identify and utilize cultural and community resources and align with the patient’s cultural preferences as much as possible.
• Facilitate the information flow between health representatives and the care team.
• Coordinate care and communicate with multiple providers, internal and external to the practice.
• Act as a resource for both clinical and non-clinical staff [i.e., care coordinators, dieticians, RN Case Managers].
• Attend required training and collaboration sessions [i.e., learning sessions/ practice team meetings] as scheduled.
• Provide and facilitate open communication regarding patient status, with physicians and patient care team.
• Develop constructive relationships with internal GLIN population health team members, participating providers, and community resources.

Qualifications

• Valid and current MSW, LCSW or LMSW licensure.
• 3-5 years’ care management and/or managed care experience in one of the following settings: acute inpatient, rehabilitation, sub-acute, skilled facility, homecare, ambulatory care management, or managed health plan.

Benefits

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here.

About COPE Health Solutions

COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply

To apply for this position or for more information about COPE Health Solutions, visit us at here.