Social Worker or Behavioral Health
Commonwealth Care Alliance is a rapidly growing nonprofit organization providing integrated health care and social support services to people with complex medical needs. Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Our innovative care model is nationally recognized for its effectiveness in improving health outcomes for these vulnerable populations.
Our unique care model is empowering for our employees as well as our members. Whether you are a clinical or administrative professional, all of us at Commonwealth Care Alliance receive the satisfaction of knowing our work truly makes a difference. We enjoy a company culture of passionate advocacy in a supportive work environment with opportunities for growth and learning, competitive salaries, and a generous and comprehensive benefit package.
The Commonwealth Care Alliance clinical program uses teams of care coordinators, clinical care managers, community health workers, nurse practitioners, and mental/behavioral health clinicians to supplement clinic-based primary care for people with complex needs covered under Medicaid and for those “dually eligible” covered by both Medicaid and Medicare. This is a multi-site, statewide program, serving adult 21 and over in both the CCA Senior Care Options (SCO) and Integrated Care Organization (ICO) Programs.
The Supportive Care Manager (SCM) provides assessment, care planning, care coordination coaching and support to members in both the CCA Senior Care Options (SCO) and Integrated Care Organization (ICO) Programs. The SCM level of care coordination is primarily telephonic with the option for face to face meetings with members and participation in Primary Care Team/Interdisciplinary Care Team meetings as necessary.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Coordinate all aspects of member care using CCA assessment and risk-stratification tools using interpretive services and /or interpretive language skills as required to facilitate the development of an integrated plan of care
· Promote education of the member regarding CCA programs and benefits, community supports and services, medical and behavioral health diagnosis self-management, and effective interaction with primary care
· Provide ongoing information to assist members in maintaining/improving health status and reducing complications/hospital admissions and to prevent readmission for all members including the frail and elderly and those at end of life.
· Utilize assessment and stratification information as the basis for member-specific plans of care; shares findings and planned actions with care team members to promote a collaborative approach for meeting member’s needs
· Facilitate access to services in the community, through timely initial and ongoing assessments, validation of member eligibility and monitoring of member status.
· Coordinate with the CCA Clinicians, Inpatient Coordinators and facility based multidisciplinary team as necessary to provide continuity of care for members
· Supervisory Responsibilities: Coordinates and oversees the work of the Supportive Care Management Assistant as the licensed member of the SCM delivery team
· Provides ongoing performance and competency evaluation including appropriate feedback to the SCM Supervisor
· Register Nurse licensed in the Commonwealth of Massachusetts, or Licensed Social Worker/Behavioral Health Provider.
· BS in Nursing or appropriate degree in related field preferred
· Minimum of 5 years’ shared clinical and case management experience
· Excellent interpersonal, verbal and written communication skills
· Ability to work effectively in a team model
Coordination and Service Delivery: experience in the development of care management plans according to CMSA standardsCase Management Concepts. Understanding of Case Management philosophy and principles as defined in the CMSA Standards of Care and experience with motivational interviewing
Commonwealth Care Alliance - 5 months ago