Job Description
Field Pediatric Social Worker (LGSW) – Behavioral Health Managed Care
Washington DC
* Offers mix of Remote/In-Office & Field/In-Person Case Management! *
** Great for those who love variety and limited local travel (mileage reimbursed)!! **
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*DC License Required**
$64,000 - $82,000 / Year is the amount that CareNational reasonably expects to pay someone for this position.
Social Worker Job Summary:
- Collaborates and facilitates care with care providers, community resources and caregivers to provide additional support.
- Conduct comprehensive assessments that include the medical, behavioral, pharmacy and social needs of the Member. Review existing claims data and documentation as appropriate, and identify gaps in care based on clinical standards of care.
- Conduct face-to-face interactions in the community with high risk, complex members in hospitals, provider offices, home or designated meeting places and other health care facilities.
- Arranges, coordinates and monitors multiple services from different providers to serve client needs with state and local social service agencies and nonprofit organizations.
- Oversees behavioral health services requested for enrolled members under 21 and conducts an assessment of client/caregiver psychosocial needs and coordinates appropriate services.
- Coordinates and modifies the care plan with the enrolled member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan /system departments as appropriate.
- Functions as liaison between administration, patients, physicians, and other healthcare providers.
Social Worker Background:
- Requires a valid, unrestricted state as a Licensed Independent Clinical Social Worker (LICSW) or Licensed Graduate Social Worker (LGSW)
- Around 3-5 years acute care clinical social work experience; including 2 years working with a pediatric/adolescent population, required.
- Prefer 1+ years experience performing Utilization Review or Case Management duties, preferably in a Health Plan, IPA, HMO, or other payer setting.
- Strong working knowledge of care planning/case management procedures, and familiarity with area mental health and substance abuse community resources.
- Diverse clinical experience highly desired, including familiarity with at-risk populations, communities of color, and available local resources for persons with behavioral and/or physical health needs.
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