For members of a defined population, responsible for
collaborating with the members of the health care team to
facilitate the coordination of appropriate, cost-effective services
that are consistent with member's plan of care, help achieve
his/her optimal level of independence, and enhance quality of life.
+ Responsibilities include, but are not limited to, problem
identification, psychosocial assessment, financial
counseling/referral, accessing community resources, placement for
care, guiding the member through health-related legal processes, or
consultation and support to other health care professionals.
+ Effectively manages and coordinates assigned caseload
consistent with established criteria. Completes comprehensive
psychosocial assessment to evaluate patient goals, social support
systems, resources, health status, functional limitations,
psychological status, environmental factors, and response to
treatment so as to decrease inappropriate utilization of medical
+ In close collaboration with the nurse case manager and other
members of the health care team, develops and monitors a plan of
care designed to promote the member's optimal level of functioning
and enhance the quality of life.
+ Identifies, facilitates, and advocates appropriate
organizational and community resources to meet the plan of care and
ensures that they are implemented for in a cost effective,
efficient, and timely manner.
+ Ensures consistent and reliable documentation of case
management activities in compliance with all organization and
+ Analyzes patient and program outcomes to identify improvements
in program, quality, and cost effectiveness of case management
+ Facilitates application process for accessing local, state,
and federally funded programs (e.g., Medicaid, Medicare, and
Disability) and/or refers to appropriate community agencies in
cases of suspected patient abuse/neglect when identified.
+ Provides supportive counseling and education to members,
families and caregivers, members of the health care team, health
plan staff, and the community, including end-of-life issues and
+ Promotes self-awareness and knowledge of current case
management standards in the community and recent innovations in
patient care. Maintains current knowledge of laws, regulations, and
policies relating to the practice of social work in the local
market/local agencies and maintains high social work standards as
defined by the NASW Code of Ethics.
+ Minimum three (3) years of clinical experience plus two (2)
years in case management required.
+ At least one (1) year of experience with the defined
+ Master's degree in social work (MSW) required.
License, Certification, Registration
+ Social Work Clinical licensure sanctioned by the state to
which assigned required by the time of hire date.
+ Case management certification (CCM) required (or acquired
within three (3) years of employment in this position).
+ Must have a National Provider Identifier (NPI), or obtain an
NPI, prior to employment start date.
+ Experience with computer software programs in a Windows
+ Knowledge of community systems and resources in the defined
service area preferred.
+ Knowledge of regulatory issues for the Mid-Atlantic area
TITLE: Social Work Case Manager - NICU to Older Adult
LOCATION: Arlington, Virginia
External hires must pass a background check/drug screen.
Qualified applicants with arrest and/or conviction records will be
considered for employment in a manner consistent with Federal,
state and local laws, including but not limited to the San
Francisco Fair Chance Ordinance. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, national origin, sexual orientation, gender
identity, protected veteran, or disability status.