Social Worker, Care Management
Core
Provide person-centered interventions and care management for high-risk members with serious mental illness, substance use disorder, and behavioral barriers to care to prevent hospital admissions and enhance independence.
Role type
Senior Clinical Social Worker (Care Management)
Builds
Comprehensive care plans and interventions for complex behavioral health cases
Domain
Healthcare / Behavioral Health / Senior Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care plan development, evidence-based guidelines application, care coordination, interdisciplinary collaboration, regulatory compliance, chronic condition management, psychosocial support
Preferred skills
Licensed Clinical Social Worker (LCSW), Certified Care Manager (CCM), remote work experience, senior care experience, Spanish language proficiency
Technologies
Telephonic platforms, virtual visit tools, desktop procedures, job aids
Responsibilities
Conduct comprehensive assessments to identify chronic conditions and psychosocial challenges; manage support for members with serious mental illness and substance use disorder; ensure clinical appropriateness of care plans against evidence-based guidelines; provide education and coaching on behavioral health treatments; serve as Subject Matter Expert for complex behavioral health cases; participate in interdisciplinary planning and case conferences; perform Enhanced Care Management activities for specific populations of focus.
Seniority
Mid-Senior level, hands-on IC
