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Duties and Responsibilities:

Completes assessment for each member related to their receipt of community based long-term care services.

Develops a comprehensive care plan for each member based on assessments, counseling, environment, social support and financial status.

Acts as a member advocate and liaison with various governmental and private agencies such as Medicaid, Medicare, and Social Security to maximize network of support and secure needed services.

Provides education, referrals, and support to members and their families as needed.

Keeps up to date on federal (Medicare) and state (Medicaid) regulations.

Interacts with community mental health providers, hospitals, nursing facilities, community services, family/caregiver, and other agencies as needed.

Collaborates with each Clinical Operations core area as needed

When needed, may provide authorization and ensure close oversight and appropriateness of service utilization including but not limited to social work home visits, Personal Emergency Response System (PERS) adult day programs, social day programs, home delivered meals, and heavy-duty cleaning.

Additional duties as assigned.

Minimum Qualifications:

LMSW or LCSW

Preferred Qualifications:

PHI electronic shared network database and archival system experience.

Thorough knowledge of current community health practices for the frail adult population and cognitive impaired seniors.

Work experience as an LMSW or LCSW including experience in one or more of the following areas; geriatrics, discharge planning, case management, assessments, acute, sub-acute, long-term care (LTC), health insurance, and/or home care environment

Intermediate Outlook, Word, Excel, PowerPoint, and Adobe Acrobat skills.

Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment

Ability to handle rapidly changing crisis situations.

Demonstrated professional writing, electronic documentation, interpersonal, and assessment skills

License or Certification: LMSW or LCSW

Regulatory or Compliance activities: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.