Case Management Social Worker - Schenectady or Rochester
MVP Health Care - Rochester, NY

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Under the direction of the Case Management Supervisor: To provide MVP members and families with the psychosocial support needed to cope with chronic, acute, or terminal illnesses. The Social Worker will telephonically assess, identify needs, coordinate, educate, case manage and/or coach members. Services include providing member education and counseling, making necessary referrals to social services programs and coordinating necessary services for MVP members across all product lines. Establishes and maintains relationships with community agencies to provide contracted and alternative services when appropriate. Refers members and/or families to community resources to assist in recovery from physical or long-term illness and to provide access to services such as financial assistance, legal aid, housing, or education. Participate in discharge planning and care coordination meetings with multiple providers. Collaborates with other professionals to evaluate patients medical or physical condition and to assess member needs. Monitor, evaluate, and record client progress according to measurable goals described in treatment and care plan. Follows case management cases to successful completion using appropriate documentation. Performs other duties as assigned by management. POSITION QUALIFICATIONS: Minimum Education/Experience: Bachelor's degree in Social Work with 5 years of case management experience OR MSW with three years of Case management experience OR LCSW. Required Skills: Excellent oral and written communication skills, including ability to compose correspondence. Excellent computer skills including strong working knowledge of Word, Windows based applications and the internet. Demonstrated clinical experience in and knowledge of population health management, case management and disease management, member centric interventions. Detail oriented with strong organizational skills. A team player able to work well in an energetic, dynamic and deadline oriented environment. Previous experience required in situations demanding strict adherence to confidentiality. Must be able to solve problems while exhibiting clinical judgment and realistic understanding of the current environment. Must be able to make independent decisions about appropriateness, resource utilization, and quality of care without supervisory assistance except in unusual circumstances. Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or care plan and be able to demonstrate good judgment when dealing with emotionally charged situations Knowledge of member centric, motivational interviewing strategies, and strength based models a plus.


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MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...