Explore opportunities in community social services, a field dedicated to improving individual and community well-being. Social service jobs involve direct support, advocacy, and resource coordination for diverse populations. Professionals in this sector work to address social issues, promote equality, and empower individuals to overcome challenges. 10,015 Community Social Service jobs in the United States
Social Care Navigator
Posted today
Job Viewed
Job Description
Job Description
Important Instructions
Please take your time with your application, you do not need to be first to apply or in the first few hundred to get this job.
Rest assured, all applications are carefully reviewed and every candidate will receive an update on the status of their application. We kindly ask that you do not directly contact our Support Team, Recruiting Team, or other Tangelo employees for updates.
About Tangelo!
At Tangelo, we improve access to nutritious, delicious food for low-income families and those with chronic conditions. Our platform provides subsidized medically tailored meals and healthy grocery delivery at reduced or even free costs through partnerships with insurance companies, governments, universities, non-profits, and employers.
About the Role
We’re seeking Social Care Navigators to support our members in New York—particularly those facing social, behavioral, or environmental challenges that impact their health and well-being. In this role, you’ll use Motivational Interviewing techniques to help members set goals, navigate community resources, and build confidence in taking next steps in their care journey.
A quick heads up: This is a 35-hour/week contract role. During the contract period, benefits won’t be available.
What You’ll Get to Do
Use motivational interviewing to build trust and empower members to take steps toward their health, housing, nutrition, and personal goals.
Conduct structured outreach to members via phone, text, or video to understand their needs and provide personalized support.
Identify and refer members to appropriate local resources, services, and programs (e.g., food assistance, housing support, transportation, behavioral health, etc).
Collaborate with internal teams (e.g., Dietitians, Member Support, Clinical Partners) to ensure warm handoffs and continuity of care.
Document member interactions and care plans accurately using our internal systems.
Follow up with members consistently to check on progress, troubleshoot barriers, and celebrate small wins.
Provide care that is trauma-informed, culturally responsive, and rooted in empathy and respect.
What You’ll Bring to the Team
2+ years of experience in Care Navigation, Social Work, Health Coaching, Behavioral Health, or a related support role; Community Health Worker certification is a plus.
Skilled in Motivational Interviewing or similar approaches that support people through change.
Familiar with systems like Medicaid, SNAP, public housing, or behavioral health services.
Experience working with low-income individuals, or people with chronic conditions.
Comfortable working remotely and using digital tools (e.g., CRM, EHR) to stay organized and document work.
Although primarily remote, candidates should be comfortable with occasional travel (i.e., in-person training) as needed.
Don't Meet All of the Qualifications?
Apply anyway! We're aware that many people only apply for a job when they've met every requirement listed in a job description. At Tangelo, we hire the PERSON, not the resume. We value diversity, in experiences and backgrounds, and are committed to providing equal opportunity for all applicants and employees. While there are certain requirements that exist for all open positions, we want to get to know YOU above all else when making our hiring decisions. Go for it.
Our Commitment to Transparency
At Tangelo, we are committed to transparent & equitable practices across our entire organization. This is a critical component of our hiring process and as such, compensation and other benefits for this role will be discussed during your first interview to ensure a fair interviewing experience and effective use of your time. No questions are off-limits as we believe complete transparency leads to an enjoyable hiring experience for all involved.
Compensation Philosophy
Compensation estimates are based on market data about the role and level, while individual compensation offers will be determined by factors such as job-related knowledge, skills, and experience.
What We Offer (Full-time Employees)
Competitive compensation.
Unlimited PTO and 11 public holidays.
Medical, dental, and vision with Kaiser options for selected states.
HSA options if you are enrolled in one of our High Deductible Health Plans.
Employer paid Life and Accidental Death & Dismemberment Insurance.
Access to One Medical, Health Advocate, Talkspace, Teladoc, and Kindbody.
Eight weeks of fully paid parental leave after eight months of employment.
401k plan (no company match at this time).
Company provided MacBook for all employees.
Remote-first work environment for most employees. If you join our Provider Engagement Team, you will work in a hybrid environment.
Beware of Job Scams
It has come to our attention that fraudulent job offers claiming to be from Tangelo are circulating online. Please note:
Tangelo will never ask for payment, financial information, or personal details such as Social Security numbers during the application process.
All official communication from Tangelo will come from the email domain jointangelo.com .
Every legitimate job offer from Tangelo is preceded by an interview process initiated and coordinated by our Talent Acquisition team.
Equal Employment Opportunity Statement
We value a diverse environment. Tangelo provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, citizenship or immigration status, disability status, genetics, protected veteran, sexual orientation, gender identity or expression, or any characteristic protected by federal, state or local laws.
Community Social Care - Caregiver
Posted 20 days ago
Job Viewed
Job Description
I'm looking for someone who need help and assistance at home.The ideal candidate will have experience in home care. We are seeking compassionate and dedicated Caregiver to provide essential support to individuals in need of assistance. The ideal candidate will have experience in home care. This role is vital in enhancing the quality of life for our clients by ensuring their safety, comfort, and well being.
Duties
- Assist clients with daily living activities such as bathing, dressing, and grooming.
- Provide companionship and emotional support to enhance the client's quality of life.
- Monitor and record vital signs as needed to ensure health and safety.
- Prepare nutritious meals according to dietary requirements and preferences.
- Assist with medication reminders and ensure proper administration as prescribed.
- Support clients with mobility and transfers to prevent falls or injuries.
- Engage clients in meaningful activities that promote cognitive function and memory care.
- Maintain a clean and safe environment within the home.
- Collaborate with co-workers to deliver comprehensive care.
Company Details
Social Worker Care Manager
Posted 6 days ago
Job Viewed
Job Description
Benefits from Day One
Paid Days Off from Day One
Student Loan Repayment Program
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**Schedule:** Full Time
**Shift** :Days , 8am to 6:30pm, working 4 10--hour shifts, including every other weekend
**Location:** 1500 SW 1 st Ave Ocala, Florida 34471
**The community you'll be caring for:** AdventHealth Ocala
Horse Capital of the World Home to the World Equestrian Center
Destination for outdoor enthusiast (golf, kayaking, horseback riding, nature trails)
Vibrant downtown area with award winning establishments
Family friendly with many parks and recreations
Spectacular springs throughout the county
**The role you'll contribute:**
The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for high-risk patient populations. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team). The Social Work Care Manager, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination through the continuum of care. The Social Work Care Manager ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The Social Work Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management.
**The value you'll bring to the team:**
Psychosocial Assessment and Interventions
oAssesses patient's and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, assisting those coping with adjusting to significant life transitions
oIntervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs
oServes as a resource to provide information and intervention related to treatment decisions, terminal illnesses and end of-life issues
oProvides grief counseling and crisis intervention skills oAdvocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the healthcare system
oProvides de-escalation services for patient/family as appropriate
oProvide Motivational Interview techniques for patients with substance use and addictive disorders
Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, therapy notes, ED notes, test results and progress notes.
Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team.
Qualifications
The expertise and experiences you'll need to succeed:
·Masters in Social Work (MSW)
·Minimum three (3) years experience in hospital/medical social work
·BLS Certification (preferred)
·Licensed Clinical Social Worker (LCSW) (preferred)
·ACM/CCM certification (preferred)
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category:** Case Management
**Organization:** AdventHealth Ocala
**Schedule:** Full-time
**Shift:** 1 - Day
**Req ID:** 24040221
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Social Worker - Community Support
Posted today
Job Viewed
Job Description
The ideal candidate will possess a Master's degree in Social Work (MSW) and have a current state licensure (LCSW or equivalent). Strong interpersonal, communication, and active listening skills are essential for building rapport and trust with clients. You should have a deep understanding of social service systems, community resources, and relevant legislation. Experience in case management, advocacy, and crisis intervention is crucial. A commitment to social justice, empathy, and cultural competence is paramount. The ability to work independently and as part of a multidisciplinary team, while maintaining confidentiality and professional ethics, is required. This role may involve home visits and travel within the community.
Qualifications:
- Master's degree in Social Work (MSW) from an accredited program.
- Current and valid state license as a Licensed Clinical Social Worker (LCSW) or equivalent.
- Minimum of 3 years of experience in social work, preferably in community-based settings.
- Proficiency in case management, client assessment, and care planning.
- Strong knowledge of local social service agencies and resources.
- Excellent counseling, crisis intervention, and advocacy skills.
- Ability to work effectively with diverse populations.
- Proficiency in using case management software.
- Commitment to ethical practice and client confidentiality.
Social Care Network Care Navigator
Posted 2 days ago
Job Viewed
Job Description
At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence. We help children and families navigate through and beyond foster care. We help families struggling with conflict and poverty grow strong. We help individuals with developmental disabilities live their best lives, and we help our neighbors access quality health and mental health services-core to building lifelong resilience and wellbeing. Together, our interrelated programs provide a whole-person, whole-family, and whole-life approach that unlocks solutions for a lifetime.
Responsibilities
The Care Navigator (CN) engages and assesses families and individuals enrolled in Medicaid for additional support services in a broad range of social and health-related domains. The CN navigates clients to enhanced services provided by Social Care Networks or existing programs and follows up to ensure services are provided and social needs are met.
Core Responsibilities:
- Assesses unmet needs of family utilizing the Accountable Health Communities (AHC) Health Related Service Needs (HRSN) Screening.
- Gathers consent and conducts verbal screenings over the phone and in person with New York Foundling clients in all 5 boroughs who are enrolled in Medicaid. Enters screening information into Social Care Network (SCN) on-line platforms in a timely manner.
- Conducts eligibility assessments for all participants who have completed screenings to confirm if member is qualified to receive Enhanced Health Related Service Needs (EHRSNs).
- Navigates qualifying members with Enhanced Health Related Service Needs to services within the social care network operating out of their borough (SOMOS, UniteUs, SIPPS). Refers non-qualifying members to existing services.
- Enters contacts with families and collaterals into all platforms in a timely manner in accordance with agency and stakeholder guidelines to ensure that all work is thoroughly documented, up-to date and accurate.
- Follows up with clients directed to Enhanced Services to ensure appointment compliance. Conducts follow-up calls with clients whose needs may change due to Major Life Events (MLEs) within 1 year of initial HRSN screening.
- Offers technical support to Foundling staff of Care Navigators and Health Home Care Managers when issues arise in on-line platforms and databases.
Qualifications
- High School Diploma/ GED and one year relevant work in child welfare or social services or life experience or A Bachelor's degree in social work, psychology, or a related field is preferred.
- Experience or knowledge of providing service coordination, linkages, and/or referrals to community-based programs.
- A passion for serving children and families. Relevant experience in child welfare, social services, or a related field is preferred.
- Excellent writing, communication, interpersonal, problem-solving, time management and organizational skills.
- Ability to work independently and as part of a team. Proven self-management abilities including meeting deadlines, prioritizing multiple tasks efficiently, timely completion of documentation and maintaining accurate and up-to-date case records.
- Ability to work effectively with a diverse, multidisciplinary team as well as a diverse client population.
- Ability to receive feedback to professionally grow and/or improve and be flexible with programmatic needs and changes.
- Must be comfortable and able to travel for in-person meetings at Foundling offices.
- Demonstrated strong commitment to safety.
Education Required
High School / G.E.D.
Recruitment Tagline
Hiring Impact, Changing Lives Together
Salary Range:
$24.97hour +(Education Additive $.09; Bilingual Additive 1.92)
Social Care Network Care Navigator
Posted 7 days ago
Job Viewed
Job Description
At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence. We help children and families navigate through and beyond foster care. We help families struggling with conflict and poverty grow strong. We help individuals with developmental disabilities live their best lives, and we help our neighbors access quality health and mental health services-core to building lifelong resilience and wellbeing. Together, our interrelated programs provide a whole-person, whole-family, and whole-life approach that unlocks solutions for a lifetime.
Responsibilities
The Care Navigator (CN) engages and assesses families and individuals enrolled in Medicaid for additional support services in a broad range of social and health-related domains. The CN navigates clients to enhanced services provided by Social Care Networks or existing programs and follows up to ensure services are provided and social needs are met.
Core Responsibilities:
- Assesses unmet needs of family utilizing the Accountable Health Communities (AHC) Health Related Service Needs (HRSN) Screening.
- Gathers consent and conducts verbal screenings over the phone and in person with New York Foundling clients in all 5 boroughs who are enrolled in Medicaid. Enters screening information into Social Care Network (SCN) on-line platforms in a timely manner.
- Conducts eligibility assessments for all participants who have completed screenings to confirm if member is qualified to receive Enhanced Health Related Service Needs (EHRSNs).
- Navigates qualifying members with Enhanced Health Related Service Needs to services within the social care network operating out of their borough (SOMOS, UniteUs, SIPPS). Refers non-qualifying members to existing services.
- Enters contacts with families and collaterals into all platforms in a timely manner in accordance with agency and stakeholder guidelines to ensure that all work is thoroughly documented, up-to date and accurate.
- Follows up with clients directed to Enhanced Services to ensure appointment compliance. Conducts follow-up calls with clients whose needs may change due to Major Life Events (MLEs) within 1 year of initial HRSN screening.
- Offers technical support to Foundling staff of Care Navigators and Health Home Care Managers when issues arise in on-line platforms and databases.
Qualifications
- High School Diploma/ GED and one year relevant work in child welfare or social services or life experience or A Bachelor's degree in social work, psychology, or a related field is preferred.
- Experience or knowledge of providing service coordination, linkages, and/or referrals to community-based programs.
- A passion for serving children and families. Relevant experience in child welfare, social services, or a related field is preferred.
- Excellent writing, communication, interpersonal, problem-solving, time management and organizational skills.
- Ability to work independently and as part of a team. Proven self-management abilities including meeting deadlines, prioritizing multiple tasks efficiently, timely completion of documentation and maintaining accurate and up-to-date case records.
- Ability to work effectively with a diverse, multidisciplinary team as well as a diverse client population.
- Ability to receive feedback to professionally grow and/or improve and be flexible with programmatic needs and changes.
- Must be comfortable and able to travel for in-person meetings at Foundling offices.
- Demonstrated strong commitment to safety.
Education Required
High School / G.E.D.
Recruitment Tagline
Hiring Impact, Changing Lives Together
Salary Range:
$24.97hour +(Education Additive $.09; Bilingual Additive 1.92)
Billing Specialist, Social Care Network
Posted 14 days ago
Job Viewed
Job Description
Public Health Solutions (PHS) is a 501(c)3 non-profit community-based organization (CBO) that has existed for 70 years to improve health equity and address health-related social needs (HRSN) for historically underserved marginalized communities. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. Learn more about our work at healthsolutions.org.
PHS administers WholeYouNYC (WYNYC), a coordinated community resource network that builds trustworthy and reliable pathways between healthcare providers, health plans and CBOs providing critical resources in the community that address the social drivers of health. WYNYC brings together over 100 organizations offering various programs - such as food, housing, employment, health insurance, and sexual health services - across all five boroughs. These services and programs make it possible for New Yorkers to live their healthiest lives and ultimately reduce health disparities and advance health equity. To date, our network has already impacted thousands of lives through community partnerships and referrals, generating millions in estimated healthcare savings.
New York State (NYS) recently announced the availability of $500M statewide to support Social Care Network (SCN) lead entities responsible for coordinating social care delivery in various regions across the state. Public Health Solutions (PHS) and our WYNYC network were awarded the role of regional SCN for Brooklyn, Manhattan, and Queens.
This is a grant-funded position ending March 31, 2027.
Position Summary:
Under the general supervision of the SCN Billing Supervisor, the Billing Specialist will support critical service provider billing functions for the WholeYouNYC SCN. Primary responsibilities include service delivery invoice review and approval and support for SCN billing issue analysis and troubleshooting.
Specifically, the Billing Specialist will:
- Review and approve SCN service delivery invoices in Unite Us, troubleshooting issues directly with internal teams and external partners, as needed.
- Ensure that SCN service delivery invoices are accurate, timely and compliant with relevant regulations.
- Review and approve manual SCN service provider authorization requests.
- Support SCN claims submission including exception review, analysis and remediation.
- Act as an SCN invoicing, claims and billing subject matter advisor providing input and assistance to supervisor, internal teams and external partners as requested.
- Collaborate with other departments to resolve billing-related inquiries, discrepancies and issues.
- Provide programmatic support for SCN and service provider payments reconciliation.
- Provide insights that inform SCN learnings about billing trends, issues and opportunities. Support the planning and implementation of improvement initiatives.
- Participate in network engagement meetings, staff / team meetings, mentoring meetings, planning meetings and others, as needed.
- Support special projects as needed, including focused account audits, research, and follow-up.
- Other duties as assigned.
- High school diploma, GED or equivalent.
- Minimum 2 years' experience in medical billing or related experience.
- Working knowledge of medical billing procedures, claims processing, payment posting and reconciliation protocols.
- Strong attention to detail with excellent analytical and problem-solving skills.
- Ability to work in a fast-paced environment and handle multiple tasks simultaneously while maintaining a high degree of accuracy and efficiency.
- Computer skills and the ability to learn and navigate new technology solutions with ease.
- Ability to work independently and as part of a team.
- Excellent communication (listening, written, oral) skills and ability to communicate effectively in-person, via email and/or phone with partners who work across various sectors.
- Associate's degree in medical billing or a related field.
- Certification in medical billing and coding.
Benefits:
• Hybrid Work Schedule.
• Generous Paid Time Off and Holidays.
• An attractive and comprehensive benefits package including Medical, Dental and Vision.
• Flexible Spending Accounts and Commuter Benefits.
• Company Paid Life Insurance and Disability Coverage.
• 403(b) + employer matching and discretionary company contributions.
• College Savings Plan.
• Ongoing trainings and continuous opportunities for professional growth and development.
At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don't have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities.
We look forward to learning more about you!
PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA+ individuals, and veterans.
Monday - Friday
9am -5pm
35 hours per week
Be The First To Know
About the latest Community social service Jobs in United States !
Senior Social Worker - Community Support
Posted today
Job Viewed
Job Description
Key Responsibilities:
- Conducting comprehensive assessments of client needs and developing individualized service plans.
- Providing direct counseling and support services to clients and their families.
- Facilitating referrals to community resources, including healthcare, housing, employment, and legal aid.
- Advocating for clients' rights and needs within various systems.
- Monitoring client progress and adjusting service plans as necessary.
- Maintaining accurate and confidential case records in compliance with agency standards.
- Collaborating with other professionals, agencies, and community partners.
- Providing crisis intervention and support during challenging situations.
- Supervising and mentoring junior social workers and interns.
Telephonic Social Worker, Care Manager
Posted 10 days ago
Job Viewed
Job Description
The Telephonic Social Worker, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropria Social Worker, Care Manager, Worker, Manager, Healthcare
Master Social Worker Care Coordination
Posted 4 days ago
Job Viewed
Job Description
Phoenix, Arizona
**Department Name:**
Case Mgmt-Hosp
**Work Shift:**
Day
**Job Category:**
Clinical Care
Find your path in health care. Operating a hospital is more than IV bags and trauma rooms. One might be surprised by the number of people who work behind the scenes and play a critical role in ensuring the best care for our patients. Apply today.
Step into a role where your compassion and clinical expertise truly matter. As a Master Social Worker Case Manager on our Care Coordination team, you'll be at the heart of patient advocacy-building meaningful relationships and guiding individuals and families through critical moments in their healthcare journey. You'll conduct initial assessments, participate in interdisciplinary rounds, and develop personalized discharge plans that prioritize safety, dignity, and long-term wellness. Working across multiple hospital units, you'll collaborate with medical teams and delegate tasks to transitional care associates, all while ensuring high-quality, evidence-based care. If you're a proactive change agent with a passion for outcomes and solutions, this is your opportunity to make a lasting difference.
This is a full time opportunity working 5/8s. Expected hours are 8am - 4:30pm. Every 3rd weekend and holiday rotations are required in this role. Enjoy a flat rate $3/hour weekend shift differential.
Banner Estrella Medical Center is a 317-bed acute care hospital providing a full range of health care services to the fast growing communities of west Phoenix. Opened in 2005, this is an innovative, fully electronic facility that features electronic medical records, computerized physician order entry, digital radiography, sophisticated ICU monitoring and much more. In fact, we've been named one of the "ten most innovative hospitals in the country" by Newsweek Magazine and are recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. The hospital is also designed to provide a soothing, healing atmosphere for both patients and their family members. We encourage the use of such therapies as pet therapy, aromatherapy, spiritual care and Reiki Therapy.
POSITION SUMMARY
This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care of the population that it serves which includes planning for a safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.
CORE FUNCTIONS
1. Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
7. May supervise other staff.
8. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.
MINIMUM QUALIFICATIONS
Requires a Master's Degree in Social Work, Counseling or related field (requirement is based on business need and regulatory compliance, all positions may not have this requirement).
Requires a Licensed Master Social Worker (LMSW) (equivalent*) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master's Degree and be a Licensed Social Worker. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 2-3 years clinical experience. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. May have to take rotating call based on the Acute facility need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.
PREFERRED QUALIFICATIONS
Certification for CCM (Certified Case Manager) preferred.
Additional related education and/or experience preferred.
**EEO Statement:**
EEO/Disabled/Veterans ( organization supports a drug-free work environment.
**Privacy Policy:**
Privacy Policy ( Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability