Licensed Social Worker

JOB SUMMARY:  The Social Worker is responsible for coordinating social and environmental needs of the AMERIGROUP member with physical medicine and behavioral health.  This individual provides recommendation to members and significant others on accessing behavior health, caregiver services, community based organizations, safety programs, financial assistance and other social organizations.

 

PRIMARY RESPONSIBILITIES:

1.  Provide Consultation to the Care Coordinator.

?  Obtains accurate social and functional history assessment of health and safety of home environment.

?  Assists Care Coordinator in development of treatment plans based on review of social and functional history.

?  Determines short and long term goals that meet the member?s needs, functional needs and the referral source?s requirements.

?  Establishes working relationships with referral sources including but not limited to multi-specialty teams, disease management programs and community resources.

?  Maintains ongoing contact with assigned individuals/significant others and providers to determine members response to services.

2.  Assessment of physical and social factors.

?  Identifies cases with complex needs and/or the potential for high risk complications and refers to Care Coordinator.

?  Serves as resource to Care Coordinator in areas requiring social service interventions.

?  Coordinates behavioral health needs with medical needs.

?  Assesses and assists members/significant others in addressing financial issues or refers them to appropriate agencies.

?  Acts as an advocate and liaison for an individual?s health care and social needs.

?  Demonstrates knowledge of physical and behavioral health providers.

?  Identifies members/significant others willing and capable of performing some care coordination activities and coordinates training for them.

3.  Review of benefit systems and cost benefit analysis.

?  Identifies cases that would benefit from alternative care and researches community services that are able to provide care

?  Acquires data and evaluates necessary long term care services for cost containment.

?  Demonstrates knowledge of home health resources, alternative long-term care placements and health care delivery systems through appropriate utilization of and referral of members to services and programs.

4.  Knowledge of care coordination and case management concepts.

?  Documents interventions and follow-up on care coordination and case management services.

?  Applies problem-solving techniques to the care coordination process.

?  Identifies potential liability issues for care coordination activities.

?  Assists as requested in the development of care management plans to address the individual?s needs on coordination with member/caregiver and PCP.

?  Tracks compliance with utilization of community and other alternative services and revises as indicated.

?  Supports caregiver activities and assists significant others with decision making related to long term care needs.

?  Assesses environment.

?  Determines adequacy of caregiver services to ensure appropriate level of care is provided.

5.  Knowledge of community resources.

?  Demonstrates knowledge of interviewing techniques.

?  Knows how to establish a client support system ? clinical services, psychosocial, pharmacy management, safety, financial, etc.

?  Demonstrates knowledge of assistive devices/adaptive equipment needed for individuals with disabilities and ensures home safety.

?  Demonstrates knowledge of community resources, State and Federal initiatives regarding member disability.

6.  Provision of services to include:

?  Demonstrates skills in the areas of assessment, planning, implementation,  coordination, monitoring and evaluation.

?  Demonstrates ability to educate members/significant others, providers and staff on the needs of the long term care population.

?  Requests direction from Medical Director on complex issues.

7.  Other duties as requested or assigned.

 

PLEASE APPLY ONLINE AT http://www.amerigroupcorp.com/corporate/work_for_us.asp

 

JOB REQUIREMENTS:

 

Education and Experience:

?  Licensed social worker with three to four years experience in health care, long term care, case management or discharge planning.

?  Bachelor?s degree required, Master?s degree preferred.

?  Certified case manager preferred.

?  Spanish speaking an asset.

 

Certification and Licensure:

?  Must possess a valid driver?s license and have access to a motor vehicle.

 

Principle Accountabilities:

?  Computer literate.

?  Excellent written and verbal communication skills.

?  Strong decision making skills.

?  Mature and culturally sensitive.

?  Ability to provide services in an environment that involves multiple health care systems.

?  Ability to interact with all relevant components of the health care system.

?  Ability to provide services that deal with the individual?s brad spectrum of needs.

?  Self-starter with ability to handle multiple project at one time.

?  Appreciation of cultural diversity and sensitivity towards target population.

 

Physical Requirements:

?  Must be able to operate a computer.

?  Must be able to operate a telephone.

 

PLEASE APPLY ONLINE AT http://www.amerigroupcorp.com/corporate/work_for_us.asp