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Job Summary

The Licensed Masters Social Work Case Manager will work in the Clinical Services and Population Health area. The LMSW Case Manager is responsible for providing support activities for members. This includes significant coordination with all departments as well as providers and community based organizations to promote effective, efficient care.

Requirements

EDUCATION
Master’s degree in Social Work.

LICENSING/CERTIFICATION

Licensed Master Social Worker (LMSW) with current active state license in good standing in the state(s) where job duties are performed required.

Case Management Certification required. If certification is not obtained prior to employment, must test successfully within three (3) years.

Valid Driver's licenses.

Arkansas Licensed Clinical Social Worker (LCSW) preferred.

EXPERIENCE

Minimum two (2) years' clinical practice experience in direct clinical care with patients in a hospital, facility or community-based environment.

Minimum two (2) years' experience in case management, home health, critical care, social work, discharge planning, or utilization review.

ESSENTIAL SKILLS & ABILITIES

Professionalism
Ethical Practice
Critical Thinking and Professional Judgment
Embrace Diversity
Advance human rights and socioeconomic justice

Excellent verbal and written communication skills

Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding.
Ability to make sound judgements and decisions based on facts and guidelines.
Ability to build collaborative relationships.
Attention to details.
Ability to interpret complex documentation.
Ability to work independently with little supervision.

Skills

• Active Listening • Analytical Problem Solving • Collaborative Communications • Critical Thinking • Cross-Functional Planning • Data Analysis • Ethical Standards • Interpersonal Relationship Management • Management Techniques • Microsoft Office • Oral Communications • Problem Sensitivity • Social Awareness • Support Coordination • Written Communication

Responsibilities

• Case Management: Assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual’s health needs through the use of plan benefits and community resources to facilitate appropriate cost effectiveness and cost containment measures are met. • Communication: Serves as a liaison facilitating a collaborative process to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels. • Compliance: Practices within the scope of licensure and adheres to policies, procedures, regulations, URAC standards and individual state regulations; making decisions to ensure compliance, appropriate level of care, and patient safety. • Knowledge: Remain current with up-to-date social work licensing requirements and continuing education. • Other duties as assigned. • Serves as a resource for non-clinical staff. • Travel: Travel to site or home visits may be required. Valid driver’s licenses is required. • Workflow: Proactively work with referrals from multiple sources to identify appropriate candidates for case management, explaining services ensuring voluntary agreement of services and maintaining a minimum patient caseload in a timely matter.

Certifications

Case Manager Certified (CMC) - The Commission for Case Manager Certification (CCMC)The Commission for Case Manager Certification (CCMC), Certified Case Manager (CCM) - The Commission for Case Manager Certification (CCMC)The Commission for Case Manager Certification (CCMC)

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular

ADA Re