Social Worker II, Health Svcs CI Managed Care Coordinator

About the Role

The Managed Care Coordinator provides documentation for the Administrative Service Organization (ASO) and acts as a direct liaison with the ASO. This role also involves documenting for private insurance companies and serving as a liaison between those companies, clinical staff, and the financial agent. The position requires expertise in understanding symptoms and treatments for clients with diagnoses typically seen in emotionally disabled adolescents. The coordinator works effectively with a multidisciplinary treatment team, including nursing/residential, educational, rehabilitation staff, social workers, psychologists, and psychiatrists, to provide family-driven and youth-guided treatment. The role involves generating extensive documentation such as treatment plans, progress notes, and reports required in a contemporary mental health context.

Responsibilities

• Provide documentation for the Administrative Service Organization (ASO) and act as a liaison with the ASO.
• Document for private insurance companies and serve as a liaison between insurance companies, clinical staff, and the financial agent.
• Collaborate with a treatment team consisting of nursing/residential, educational, rehabilitation staff, social workers, psychologists, and psychiatrists.
• Generate extensive documentation, including treatment plans, progress notes, and reports.

Requirements

• Education: Determined by the Maryland State Board of Social Work Examiners under the licensing requirements for Social Workers.
• Experience: Two years of experience rendering clinical social work services in a health care or treatment setting subsequent to the receipt of an approved Master’s degree in Social Work from an accredited college or university.
• Note: Candidates may substitute U.S. Armed Forces military service experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Social Work classifications or Social Work specialty codes in the Social Science, Psychology, and Welfare field of work on a year-for-year basis for the required experience.
• School Social Workers must possess three semester hours of special education coursework and a certificate from the Maryland Board of Education in School Social Work as per COMAR 13A.12.04.11.

Qualifications

• Licensed as a Certified Social Worker or Certified Social Worker, Clinical by the Maryland State Board of Social Work Examiners prior to appointment (applicants pending licensure may apply).
• Valid operator's license in the State of Maryland if assigned duties requiring the operation of an automobile.

Preferred Qualifications

• Experience working with children and adolescents in a psychiatric or behavioral health setting.
• Experience coordinating with insurance companies, managed care organizations, or Administrative Service Organizations (ASOs) regarding behavioral health services and documentation requirements.

Benefits

State of Maryland benefits are provided.