Social Worker Case Manager (Hybrid - Licensed in Arizona)

Company Description

CNSI and Kepro are now Acentra Health!  Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company, to actively engage in problem-solving, and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Description

Acentra seeks a Social Worker Case Manager (Hybrid - Licensed in Arizona) to join our growing team.

Job Summary:

The Social Worker Case Manager is responsible for:

• Providing in-home, in-person care coordination in defined areas and telephonic care coordination across the United States.
• Assessing, planning, implementing, monitoring, and evaluating options and services to affect an appropriate, individualized plan for the beneficiary across the continuum of care.
• Using independent judgment, utilizing clinical knowledge and competence, communication skills, problem-solving and conflict resolution to effectively ensure optimal client outcomes with consideration to payer requirements.
• Coordinating beneficiary needs related to community resources, financial assistance programs, and long-term activity of daily living needs outside the benefit criteria of the medical insurance coverage.
• Working effectively with all healthcare team members internally and externally.

Phone and In-Home Visits 

** This is a full-time, direct hire, exempt (salary), Hybrid opportunity (within specific counties within the State of Arizona) with Benefits. **

** The selected candidate must reside and work in the state of Arizona, within the United States. **

** A clean Motor Vehicle Report (MVR) in the state of Arizona and access to reliable transportation for this role is required for this role. **

** This position is Hybrid with in-home, in-person care coordination (up to approximately 25%) and telephonic care (up to approximately 75%) for (the largest population of) beneficiaries within the NE portion of AZ (Zip Code 86033) **

** Drive time distance of up to a two-hour radius maximum (with mileage reimbursement). **

** The selected candidate is required to have a designated private workspace at their home residence for this role. **

** The first dose of the COVID-19 vaccination is required as you will be working in person with beneficiaries. **

 Job Responsibilities:

• Use of independent clinical judgment and discretion within the scope of practice to assess, plan, implement, monitor, and evaluate options and services to affect an appropriate, individualized plan with the beneficiary across the continuum of care; utilizes clinical knowledge and competence communication skills, problem-solving and conflict resolution to effectively ensure optimal beneficiary outcomes with consideration to client requirements.
• Develops beneficiary-centered care plans demonstrating shared accountability between beneficiaries, caregivers, and providers by working collaboratively with the beneficiary, their provider, and other members of the Funds Health Care team as necessary to coordinate care, address identified gaps in care or compliance with the goal to optimize beneficiary function, or prevent further decline in health, consistent with the Funds and Acentra Health “caring” philosophy.
• Maintains strict standards for client confidentiality and client-related information. Complies with all organizational, state, and federal regulations and policies on confidentiality.
• Manages caseload to ensure all required documentation and entry of assessment results into the web-based database are completed accurately and timely in accordance with regulatory requirements and company policies and procedures.
• Maintains open communication with all appropriate parties.
• Pursues ongoing education, certification, and self-development to remain current with case management standards.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education and experience-related duties that management may deem necessary.

Qualifications

Required Qualifications/Experience: