Social Work Case Manager - Casual Hours - Forbes

15146 Monroeville, Pennsylvania Highmark Health

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW**
This job utilizes principles of care coordination to support patients and their families/caregivers. The incumbent collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**?**
**ESSENTIAL RESPONSIBILITIES:**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum.30%
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources.25%
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition.20%
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse, Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship.15%
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees.5%
+ Supports Department based goals that contribute to the success of the organization.5%
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work (Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
+ Experience in a hospital or health care setting
+ LSW and/or LCSW required (Incumbents in the role on or before4/21/2025 have 12 months from hire date to obtain)
+ Act 34 Criminal Background Clearance Certificate
+ Act 33 Child Abuse Clearance Certificate
+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J263465
View Now

Social Work Case Manager - Full Time - AGH

15222 Pittsburgh, Pennsylvania Highmark Health

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**$10,000 sign on bonus available**
**GENERAL OVERVIEW:**
The Social Work Case Manager in Care Management is a professional clinician that utilizes principles of care coordination to support patients and their families/caregivers. The incumbent collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**ESSENTIAL RESPONSIBILITIES**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum. (30%)
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) in order to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community based resources. (25%)
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post acute partners to assure the safest transition. (20%)
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. (15%)
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
+ Supports Department based goals that contribute to the success of the organization. (5%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work (Obtain within 6 months of hire)
+ Experience in a hospital or health care setting
+ LSW required within 1 year of hire. Incumbents in the role on or before 12/31/2022 have until 12/31/2023 to obtain.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J244683
View Now

Social Work Case Manager - PT - Rotational Hours - Forbes

15146 Monroeville, Pennsylvania Highmark Health

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**$5,000 sign on bonus available**
**GENERAL OVERVIEW**
This job utilizes principles of care coordination to support patients and their families/caregivers. The incumbent collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**?**
**ESSENTIAL RESPONSIBILITIES:**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum.30%
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources.25%
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition.20%
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse, Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship.15%
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees.5%
+ Supports Department based goals that contribute to the success of the organization.5%
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work (Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
+ Experience in a hospital or health care setting
+ LSW and/or LCSW required (Incumbents in the role on or before4/21/2025 have 12 months from hire date to obtain)
+ Act 34 Criminal Background Clearance Certificate
+ Act 33 Child Abuse Clearance Certificate
+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J263463
View Now

CHC Service Coordinator (Social Work)- Centre County, PA (Hybrid)

15222 Pittsburgh, Pennsylvania UPMC

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

UPMC Health Plan is looking for Service Coordinators in the Centre County (Central, PA) area to join the Community HealthChoices team!
Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid.
To provide service coordination services across the continuum of care through a community-based approach to improve the health outcomes of the Members served. Service coordination's purpose is for a collaborative process that assesses, plans, implements coordinates, monitors, and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes.
This is a hybrid position that requires traveling into the community on a daily basis.
**Responsibilities:**
+ Establish and build strong relationships with both internal team members and partner providers to foster a collaborative environment. Educates on and coordinates community resources, emphasizing medical, behavioral, and social services.
+ Manages an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity. Collect program data to track participant progress on a monthly basis to ensure that OPS reporting is completed per regulatory deadline and compliance requirements.
+ Responsible for performing profession-level administrative duties involving research, analysis, and reporting. Prepare reports regarding service provision and update service plans in accordance with governing bodies. Ensures comprehensive assessments are completed within required time frames and utilizes knowledge and expertise to assess options for care including the use of benefits and community resources.
+ Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs. Assist Members in obtaining HCBS services that will support independent living.
+ Identify, coordinate, and assist Members in gaining access to needed LTSS and Medical Assistance services, as well as non-Medicaid funded medical, social, housing, educational, and other services and supports. Providing information to Members and facilitating access, coordinating, and monitoring LTSS needs for Members.
+ Informing Members about available LTSS, required assessments, the Person t-centered service planning process, service alternatives, service delivery options including opportunities for Self -direction, roles, rights including DHS Fair Hearing rights, risks, and responsibilities, and assisting with fair hearing requests when needed and requested, and to protect a Members health, welfare, and quality on an on-going basis.
+ Collect s additional necessary information, including, at a minimum: Member preferences, strengths, and goals to inform the development of the PCSP Conduct reevaluation of the level of care annually or more frequently as needed. Assist the Member and his or her PCPT in identifying and choosing willing and qualified Providers.
+ Works with the Member to complete activities necessary to maintain LTSS eligibility. Explores coverage of services to address Member identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance, and other community resources.
+ Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the Member to provide for seamless coordination between physical, behavioral, and support services. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities. Maintain confidentiality and adhere to HIPAA requirements.
+ Willingness and ability to work in the field at least 75% of the time. Ability to work independently in a virtual setting.
+ Bachelor's degree in social work, psychology, or other related fields with practicum experience preferred OR have at least three (3) years of experience in a social service or a healthcare-related setting.
+ Preferred experience working with people with disabilities or seniors in need of LTSS; and knowledge of the home and community-based service system and how to access and arrange for services.
+ Cultural competency and the ability to be sensitive to diverse backgrounds and set aside personal opinions and implicit biases. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
+ Preferred: Minimum year of LTSS, Service Coordination, or Case Management experience.
Additional Requirements:
+ Must have a valid driver's license
+ Reliable transportation
+ A private workspace free from distractions
+ Ability to meet strict, regulatory deadlines, and willingness to protect confidentiality in accordance with HIPAA guidelines
Internet Speed Requirements:
+ Minimum speed is 20Mb/s download, 5Mb/s upload less than 50ms ping, and under 10ms jitter
**Licensure, Certifications, and Clearances:**
+ Automotive Insurance
+ Driver's License
+ Act 34
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
View Now

Social Work Case Manager - Full Time - Day Shift - AGH

15222 Pittsburgh, Pennsylvania Highmark Health

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**$10,000 sign on bonus available**
**GENERAL OVERVIEW:**
This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**ESSENTIAL RESPONSIBILITIES**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum. (30%)
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources. (25%)
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition. (20%)
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. (15%)
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
+ Supports Department based goals that contribute to the success of the organization. (5%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work(Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
+ Experience in a hospital or health care setting
+ LSW and/or LCSW required (Incumbents in the role on or before 04/21/2025 have 12 months from hire date to obtain)
+ Act 34 Criminal Background Clearance Certificate
+ Act 33 Child Abuse Clearance Certificate
+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J265063
View Now

Social Work Case Manager - Full Time - Day Shift - Pittsburgh

15222 Pittsburgh, Pennsylvania Highmark Health

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**$10,000 sign on bonus available**
**GENERAL OVERVIEW:**
This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**ESSENTIAL RESPONSIBILITIES**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum. (30%)
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources. (25%)
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition. (20%)
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. (15%)
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
+ Supports Department based goals that contribute to the success of the organization. (5%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work(Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
+ Experience in a hospital or health care setting
+ LSW and/or LCSW required (Incumbents in the role on or before 04/21/2025 have 12 months from hire date to obtain)
+ Act 34 Criminal Background Clearance Certificate
+ Act 33 Child Abuse Clearance Certificate
+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J265062
View Now

CHC Service Coordinator (Social Work, Case Management)- Armstrong County- Hybrid

15289 Pittsburgh, Pennsylvania UPMC Senior Communities

Posted today

Job Viewed

Tap Again To Close

Job Description

UPMC Health Plan is looking for Service Coordinators in Armstrong County to join the Community HealthChoices team!

Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid.

To provide service coordination services across the continuum of care through a community-based approach to improve the health outcomes of the Members served. Service coordination's purpose is for a collaborative process that assesses, plans, implements coordinates, monitors, and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes.

This is a hybrid position that requires traveling into the community on a daily basis.

Responsibilities:
  • Establish and build strong relationships with both internal team members and partner providers to foster a collaborative environment. Educates on and coordinates community resources, emphasizing medical, behavioral, and social services.
  • Manages an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity. Collect program data to track participant progress on a monthly basis to ensure that OPS reporting is completed per regulatory deadline and compliance requirements.
  • Responsible for performing profession-level administrative duties involving research, analysis, and reporting. Prepare reports regarding service provision and update service plans in accordance with governing bodies. Ensures comprehensive assessments are completed within required time frames and utilizes knowledge and expertise to assess options for care including the use of benefits and community resources.
  • Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs. Assist Members in obtaining HCBS services that will support independent living.
  • Identify, coordinate, and assist Members in gaining access to needed LTSS and Medical Assistance services, as well as non-Medicaid funded medical, social, housing, educational, and other services and supports. Providing information to Members and facilitating access, coordinating, and monitoring LTSS needs for Members.
  • Informing Members about available LTSS, required assessments, the Person t-centered service planning process, service alternatives, service delivery options including opportunities for Self -direction, roles, rights including DHS Fair Hearing rights, risks, and responsibilities, and assisting with fair hearing requests when needed and requested, and to protect a Members health, welfare, and quality on an on-going basis.
  • Collect s additional necessary information, including, at a minimum: Member preferences, strengths, and goals to inform the development of the PCSP Conduct reevaluation of the level of care annually or more frequently as needed. Assist the Member and his or her PCPT in identifying and choosing willing and qualified Providers.
  • Works with the Member to complete activities necessary to maintain LTSS eligibility. Explores coverage of services to address Member identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance, and other community resources.
  • Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the Member to provide for seamless coordination between physical, behavioral, and support services. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities. Maintain confidentiality and adhere to HIPAA requirements.
  • Willingness and ability to work in the field at least 75% of the time. Ability to work independently in a virtual setting.
Qualifications:
  • Bachelor's degree in social work, psychology, or other related fields with practicum experience preferred OR have at least three (3) years of experience in a social service or a healthcare-related setting.
  • Preferred experience working with people with disabilities or seniors in need of LTSS; and knowledge of the home and community-based service system and how to access and arrange for services.
  • Cultural competency and the ability to be sensitive to diverse backgrounds and set aside personal opinions and implicit biases. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
  • Preferred: Minimum year of LTSS, Service Coordination, or Case Management experience.
Additional Requirements:
  • Must have a valid driver's license
  • Reliable transportation
  • A private workspace free from distractions
  • Ability to meet strict, regulatory deadlines, and willingness to protect confidentiality in accordance with HIPAA guidelines
Internet Speed Requirements:
  • Minimum speed is 20Mb/s download, 5Mb/s upload less than 50ms ping, and under 10ms jitter
Licensure, Certifications, and Clearances:
  • Automotive Insurance
  • Driver's License
  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran
View Now
Be The First To Know

About the latest Youth services Jobs in Vandergrift !

Social Work Case Manager - Full Time - Daylight - Med Surg, Inpatient

15146 Monroeville, Pennsylvania Highmark Health

Posted 9 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**$10,000 sign on bonus available**
**GENERAL OVERVIEW:**
This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**ESSENTIAL RESPONSIBILITIES**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum. (30%)
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources. (25%)
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition. (20%)
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. (15%)
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
+ Supports Department based goals that contribute to the success of the organization. (5%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work(Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
+ Experience in a hospital or health care setting
+ LSW and/or LCSW required (Incumbents in the role on or before 04/21/2025 have 12 months from hire date to obtain)
+ Act 34 Criminal Background Clearance Certificate
+ Act 33 Child Abuse Clearance Certificate
+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J264777
View Now

Social Work Case Manager - Full Time - Day Shift -West Penn

15222 Pittsburgh, Pennsylvania Highmark Health

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Allegheny Health Network
**Job Description :**
**$10,000 sign on bonus available**
**GENERAL OVERVIEW:**
This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.
**ESSENTIAL RESPONSIBILITIES**
+ Contributes to and/or completes initial and ongoing comprehensive assessment.Provides interventions and implements recommendations after engaging patients and their caregivers/families.Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum. (30%)
+ Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources. (25%)
+ Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support.Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition. (20%)
+ Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.Drives collaborative conversations to establish goals of care.Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. (15%)
+ Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
+ Supports Department based goals that contribute to the success of the organization. (5%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ Master's degree in Social Work(Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
+ Experience in a hospital or health care setting
+ LSW and/or LCSW required (Incumbents in the role on or before 04/21/2025 have 12 months from hire date to obtain)
+ Act 34 Criminal Background Clearance Certificate
+ Act 33 Child Abuse Clearance Certificate
+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
Preferred
+ None
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J263841
View Now

Nearby Locations

Other Jobs Near Me

Industry

  1. request_quote Accounting
  2. work Administrative
  3. eco Agriculture Forestry
  4. smart_toy AI & Emerging Technologies
  5. school Apprenticeships & Trainee
  6. apartment Architecture
  7. palette Arts & Entertainment
  8. directions_car Automotive
  9. flight_takeoff Aviation
  10. account_balance Banking & Finance
  11. local_florist Beauty & Wellness
  12. restaurant Catering
  13. volunteer_activism Charity & Voluntary
  14. science Chemical Engineering
  15. child_friendly Childcare
  16. foundation Civil Engineering
  17. clean_hands Cleaning & Sanitation
  18. diversity_3 Community & Social Care
  19. construction Construction
  20. brush Creative & Digital
  21. currency_bitcoin Crypto & Blockchain
  22. support_agent Customer Service & Helpdesk
  23. medical_services Dental
  24. medical_services Driving & Transport
  25. medical_services E Commerce & Social Media
  26. school Education & Teaching
  27. electrical_services Electrical Engineering
  28. bolt Energy
  29. local_mall Fmcg
  30. gavel Government & Non Profit
  31. emoji_events Graduate
  32. health_and_safety Healthcare
  33. beach_access Hospitality & Tourism
  34. groups Human Resources
  35. precision_manufacturing Industrial Engineering
  36. security Information Security
  37. handyman Installation & Maintenance
  38. policy Insurance
  39. code IT & Software
  40. gavel Legal
  41. sports_soccer Leisure & Sports
  42. inventory_2 Logistics & Warehousing
  43. supervisor_account Management
  44. supervisor_account Management Consultancy
  45. supervisor_account Manufacturing & Production
  46. campaign Marketing
  47. build Mechanical Engineering
  48. perm_media Media & PR
  49. local_hospital Medical
  50. local_hospital Military & Public Safety
  51. local_hospital Mining
  52. medical_services Nursing
  53. local_gas_station Oil & Gas
  54. biotech Pharmaceutical
  55. checklist_rtl Project Management
  56. shopping_bag Purchasing
  57. home_work Real Estate
  58. person_search Recruitment Consultancy
  59. store Retail
  60. point_of_sale Sales
  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
View All Youth Services Jobs View All Jobs in Vandergrift