Social Worker – Field - Ulster County, NY
Core
Conduct field visits and care management assessments for dual eligible members (Medicare/Medicaid) to address complex health and social needs, coordinate post-acute care, and advocate for benefit access.
Role type
Field Social Worker (IC)
Builds
Individualized care plans and social determinants of health interventions for dual eligible populations
Domain
Healthcare / Social Work / Public Health
Deliverable
physical/clinical work
Required skills
psychosocial assessment, care coordination, intervention planning, stakeholder collaboration, advocacy, data utilization for care management
Preferred skills
experience with catastrophic/acute/chronically ill members, quality improvement identification
Technologies
Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams), EHR portals, VPN
Responsibilities
Conduct in-home and facility assessments, set member-centered goals, identify barriers to care, monitor and adapt interventions, collaborate with providers and community resources, advocate for benefit coverage, report quality improvement opportunities
Seniority
Mid-level, hands-on IC
