geriatric social worker

Summa Health

<div></div><div><div><b>Full-Time/ 40 Hours / Days (Mon-Fri / No Weekends or Holidays)
</b></div><div><b>Summa Health - Akron Campus<br>
</b></div><div></div><div><b><i>Summa Health System is recognized as one of the region&rsquo;s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.<br>
</i></b></div><div></div><div><b>Summary:
</b><br>
Demonstrates expertise in social work, working as a member of an inter-disciplinary team comprised of a physician, nurse and social worker. Occasionally plans educational offerings and ensures continuing education requirements are met. Applies specialized knowledge of human development and behavior and social, economic, and cultural systems in directly assisting older adults and families to improve or restore their capacity for social functioning including counseling and use of psychosocial interventions and social psychotherapy. Performs social psychotherapy without supervision and may provide supervision to LSW engaged in social psychotherapy.
<br>
<br>
<b>Formal Education Required:
</b><br>
a. Master&rsquo;s Degree in Social Work
<br>
b. Current Ohio LISW License
<br>
<br>
<b>Experience &amp; Training Required:
</b><br>
a. One (1) to three (3) years of social work experience preferred
<br>
<br>
<b>Other Skills, Competencies and Qualifications:
</b><br>
a. Possesses sound knowledge of community resources/agencies that serve the geriatric populations
<br>
b. Ability to communicate effectively, accept and institute change and work independently as well as collaborate with others
<br>
c. Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity
<br>
<br>
<b>Level of Physical Demands:
</b><br>
a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently<br>
</div><div></div><p>Equal Opportunity Employer/Veterans/Disabled<br>
</p><div></div>$30.91/hr - $46.36/hr
<p>The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
</p><p>Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.
</p><ul><li>Basic Life and Accidental Death &amp; Dismemberment (AD&amp;D)
</li><li>Supplemental Life and AD&amp;D
</li><li>Dependent Life Insurance
</li><li>Short-Term and Long-Term Disability
</li><li>Accident Insurance, Hospital Indemnity, and Critical Illness
</li><li>Retirement Savings Plan
</li><li>Flexible Spending Accounts &ndash; Healthcare and Dependent Care
</li><li>Employee Assistance Program (EAP)
</li><li>Identity Theft Protection
</li><li>Pet Insurance
</li><li>Education Assistance
</li><li>Daily Pay</li></ul></div>

Social Worker - LISW

Hosparus Health

Care Guide Partners PACE is a part of Hosparus Health. As a Program of All-Inclusive Care for the Elderly (PACE) provider, we work to empower people 55 and older with the support they need to stay in the homes they know and love as they age. PACE helps seniors who need nursing home-level care maintain their independence by providing all the medical care and support services they need to continue living comfortably and safely at home.
<br><br>
<b>Schedule:</b> 8:30am- 5:00pm
<br><br>
<b>Position Summary:</b><br>
The PACE Social Worker provides social work services to participants and families/caregivers as assigned including screening and assessments, case management, emotional support, counseling, support related to legal affairs, assistance in planning for care giving and financial services. Provides other social services support and guidance as needed. The social worker plans, implements and documents individualized social services plans of care in accordance with the interdisciplinary team, policies and expectations of the PACE program according to regulatory standards.
<br><br>
<b>Position Qualifications:</b><br>
<ul>
<li>Licensed in state of Kentucky as Certified Social Worker (CSW) or Licensed Clinical Social Worker (LCSW).</li>
<li>Minimum 1 year of experience working with a frail or elderly population or must receive appropriate training upon hire. Two years social work experience in healthcare setting preferred.</li>
<li>Must maintain CPR certification.</li>
<li>Must have flexibility to travel to participant homes and other locations within service area.</li>
<li>Proficiency with technology-based tools, including electronic medical record.</li>
<li>Able to work independently and as an effective member of a team.</li>
<li>Excellent communication skills, with ability to communicate with internal stakeholders at all levels of the organization and external stakeholders from varied backgrounds.</li>
<li>Excellent organizational skills; able to multitask and maintain numerous initiatives with time sensitivity.</li>
<li>Working knowledge of principles and practices of healthcare, healthcare systems, managed care, Medicare and Medicaid benefits and regulations.</li>
<li>Knowledge of safety and infection control requirements for healthcare facilities.</li>
</ul>
Care Guide Partners 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, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws

PACE Social Worker

JASA

<div><h1 class="jobSectionHeader"><b>Bilingual Russian/English Social Worker- Help Center</b></h1><p>
As a Bilingual Russian/English Social Worker in JASA&rsquo;s Help Center, you&rsquo;ll serve as the first point of contact for older adults, caregivers, family members, and professionals seeking information, support, and services. Through screening, assessment, information and referral, and benefits advocacy, you&rsquo;ll help connect individuals to critical programs and resources that support aging safely and independently in the community.</p><p></p><p><b>
Shift Schedule:</b></p><ul><li>
Monday&ndash;Friday, 9AM-5PM</li></ul><p><b>
Hours Per Week:</b></p><ul><li>
35</li></ul><p></p><h2 class="jobSectionHeader"><b>
 Why You&rsquo;ll Love Working at JASA</b></h2><p>
JASA is one of NYC&rsquo;s largest and most trusted nonprofit organizations serving older adults. Through the Help Center, we provide guidance, support, and connections to services that help older New Yorkers access the care and resources they need to live independently and with dignity.</p><h3 class="jobSectionHeader"><b>
Top Reasons to Join Us:</b></h3><p><b>
Meaningful Impact:</b></p><ul><li>
Support older adults and caregivers navigating complex systems of care and services</li><li>
Help individuals access benefits, programs, and community-based supports</li></ul><p><b>
Community Connection:</b></p><ul><li>
Build relationships with older adults, caregivers, professionals, and community members across NYC</li><li>
Provide culturally responsive and linguistically appropriate services in Russian and English</li></ul><p><b>
Collaborative Environment:</b></p><ul><li>
Partner with internal JASA programs and external aging service providers</li><li>
Work as part of a multidisciplinary, mission-driven team</li></ul><p><b>
Professional Growth:</b></p><ul><li>
Develop expertise in aging services, benefits and entitlements, care coordination, and crisis support</li><li>
Participate in ongoing training and professional development opportunities</li></ul><p></p><h2 class="jobSectionHeader"><b>
What You'll Be Doing</b></h2><p>
As a Help Center Social Worker, you&rsquo;ll provide information, referral, assessment, and advocacy services to older adults and caregivers through phone, email, and text-based communication.</p><h3 class="jobSectionHeader"><b>
Information &amp; Referral Services</b></h3><ul><li>
Provide information and assistance regarding long-term care services and supports</li><li>
Connect individuals to appropriate programs and services based on identified needs</li><li>
Provide follow-up regarding referrals and service linkage outcomes</li><li>
Serve as a resource for older adults, caregivers, families, and professionals</li></ul><h3 class="jobSectionHeader"><b>
Screening &amp; Assessment</b></h3><ul><li>
Conduct intake and screening via phone, email, and text communication</li><li>
Gather preliminary information about client needs and circumstances</li><li>
Assess eligibility for programs, services, and benefits/entitlements</li><li>
Identify barriers to accessing services and provide appropriate referrals and advocacy</li></ul><h3 class="jobSectionHeader"><b>
Benefits &amp; Entitlements Support</b></h3><ul><li>
Assist with screening for benefits and entitlement programs</li><li>
Provide guidance on applications for public benefits and services</li><li>
Advocate to help clients access eligible supports</li><li>
Provide information on healthcare, social services, recreation, and community resources</li></ul><h3 class="jobSectionHeader"><b>
Education &amp; Care Navigation</b></h3><ul><li>
Educate older adults and caregivers on:<ul><li>
Aging-related physical, social, and psychological changes</li><li>
Available community supports and services</li><li>
Strategies to maintain independence and well-being</li></ul></li><li>
Support transitions of care and changing service needs</li></ul><h3 class="jobSectionHeader"><b>
Outreach &amp; Collaboration</b></h3><ul><li>
Collaborate with JASA programs and external service providers</li><li>
Participate in outreach and education activities to promote Help Center services</li><li>
Attend staff meetings, trainings, and professional development sessions</li><li>
Build and maintain relationships with community partners</li></ul><h3 class="jobSectionHeader"><b>
Documentation &amp; Compliance</b></h3><ul><li>
Complete required case documentation, reports, and statistical tracking</li><li>
Use agency databases and systems to maintain accurate records</li><li>
Follow all JASA standards and program protocols</li><li>
Report crisis situations or concerns to supervisory staff</li></ul><h3 class="jobSectionHeader"><b>
Additional Responsibilities</b></h3><ul><li>
Use a strength-based, person-centered approach in all interactions</li><li>
Provide culturally responsive and non-judgmental services to diverse populations</li><li>
Perform additional duties as assigned</li></ul><p></p><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Need</b></h2><h3 class="jobSectionHeader"><b>
Education</b></h3><ul><li>
Master&rsquo;s Degree in Social Work, Psychology, Counseling, Gerontology, or related field required within two months of start date</li></ul><h3 class="jobSectionHeader"><b>
Experience</b></h3><ul><li>
1&ndash;2 years of experience working with older adults preferred</li><li>
Experience in geriatrics, intake, screening, or case management preferred</li></ul><h3 class="jobSectionHeader"><b>
Language Requirement</b></h3><ul><li>
Bilingual Russian/English required</li></ul><h3 class="jobSectionHeader"><b>
Skills &amp; Competencies</b></h3><ul><li>
Strong knowledge of long-term care systems and aging services in NYC</li><li>
Excellent communication, listening, and interpersonal skills</li><li>
Strong assessment, screening, and problem-solving abilities</li><li>
Ability to work effectively with diverse populations</li><li>
Strong organizational and documentation skills</li><li>
Cultural competence and sensitivity to issues of race, ethnicity, religion, and identity</li><li>
Ability to work independently and as part of a team</li></ul><h3 class="jobSectionHeader"><b>
Technology Skills</b></h3><ul><li>
Proficiency with computers and web-based systems</li><li>
Experience with databases and case management systems preferred</li><li>
Ability to learn new technology platforms quickly</li></ul><p></p><h2 class="jobSectionHeader"><b>
Benefits at a Glance</b></h2><p>
JASA offers a comprehensive benefits package designed to support your well-being and future:</p><h3 class="jobSectionHeader"><b>
Health &amp; Wellness</b></h3><ul><li>
Medical, Dental, and Vision coverage options</li><li>
Employee Wellness Programs (fitness + mental health support)</li><li>
Employee Assistance Program (EAP)</li></ul><h3 class="jobSectionHeader"><b>
Retirement Savings</b></h3><ul><li>
403(b) retirement plan</li></ul><h3 class="jobSectionHeader"><b>
Generous Time Off</b></h3><ul><li>
Paid vacation time</li><li>
Holidays and floating holidays</li><li>
Paid time off for work-life balance</li></ul><h3 class="jobSectionHeader"><b>
Professional Development</b></h3><ul><li>
Training and continuing education opportunities</li><li>
Career growth within the organization</li></ul><h3 class="jobSectionHeader"><b>
Employee Recognition</b></h3><ul><li>
Employee recognition programs celebrating contributions</li></ul><p></p><h2 class="jobSectionHeader"><b>
EEO Statement</b></h2><p>
JASA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, or any other protected classification under federal, state, or local law.</p></div>

Bilingual Russian/English Social Worker- Help Center

Millennium Physician Group

<div><p><b>Job Description Summary</b></p><p>
&lrm;</p>
The Geriatric Patient Care Specialist serves as a vital link between our elderly patients, their families, and the multidisciplinary care team. This role is crucial for ensuring seamless patient navigation, comprehensive administrative support, and coordination of care services, ultimately contributing to the highest quality of patient outcomes.<p>
&lrm;</p><p><b>
How will you make an impact &amp; Requirements</b></p><p>
&lrm;</p><div><div><p><b>
Key Responsibilities</b></p></div><div><ul><li><p>
Appointment Management: Coordinate, schedule, and confirm new and existing patient appointments using systems like Athena and Carelink; place reminder calls to patients.</p></li></ul></div><div><ul><li><p>
Patient and care coordination</p></li></ul></div><div><ul><li><p>
Liaison/Communication: Act as the primary liaison, communicating regularly with patients, family members, and various providers and care teams (including specialists, PCPs, home health, and hospice agencies).</p></li></ul></div><div><ul><li><p>
Case Management &amp; Referrals:</p></li></ul></div><div><ul><li><p>
Coordinate and schedule post-discharge visits for patients returning home from the hospital or skilled nursing facilities (SNF).</p></li></ul></div><div><ul><li><p>
Monitor and manage the coordination of new patient referrals, specifically for house calls.</p></li></ul></div><div><ul><li><p>
Process and track specialized referrals (e.g., specialists, home health, hospice, psychiatry), including faxing orders/referral packets and progress notes, and following up to confirm acceptance and scheduling.</p></li></ul></div><div><ul><li><p>
Program Enrollment: Enroll eligible patients in Advanced Primary Care Management (APCM), creating the necessary profiles and uploading consent forms; accurately document time spent on APCM tasks (e.g., home health orders, prescription management, phone calls).</p></li></ul></div><div><ul><li><p>
GUIDE Program Management: Track referrals, discuss program details with patients, and set up in-person or telehealth visits, including confirming insurance and location details.</p></li></ul></div><div><ul><li><p>
NP/Provider Support: Screen and return phone calls to family members on behalf of the Nurse Practitioner (NP).</p></li></ul></div><p></p><div><p><b><br>
Administrative</b><b> </b><b>and Documentation</b></p></div><div><ul><li><p>
Patient Registration &amp; Data Entry: Perform patient registration, creating profiles in Athena, and accurately adding/verifying patient demographics, new patient insurance, and billing information. Upload admission packets as needed.</p></li></ul></div><div><ul><li><p>
Census Management: Maintain and track provider census data, monitoring patient appointment cadence, referral status, and ensuring accurate provider and regional assignments in Athena and other tracking systems.</p></li></ul></div></div><div><div><ul><li><p>
Insurance Verification &amp; Authorization:</p></li></ul></div><div><ul><li><p>
Verify patient insurance benefits.</p></li></ul></div><div><ul><li><p>
Obtain necessary insurance authorizations for specialist referrals, APCM, Transitional Care Management (TCM) services, and medications.</p></li></ul></div><div><ul><li><p>
Documentation: Document after-hours call notes in the patient chart.</p></li></ul></div><div><ul><li><p>
General Administration: Assist with tasks related to practice capacity, general letters, and processing provider requests/orders.</p></li></ul></div><p></p><div><p><b><br>
Clinical Support and Processing</b></p></div><div><ul><li><p>
Orders Processing (Lab, Radiology, DME):</p></li></ul></div><div><ul><li><p>
Process lab and radiology orders, including faxing orders and demographics for mobile imaging.</p></li></ul></div><div><ul><li><p>
Manage the Lab bucket by labeling/assigning reports and contacting patients to deliver lab results on behalf of the NP.</p></li></ul></div><div><ul><li><p>
Complete and process Durable Medical Equipment (DME) orders, add addenda to progress notes, fax the order and face sheet to the vendor, and call to confirm receipt.</p></li></ul></div><div><ul><li><p>
Medication Assistance: Verify medication dosage and frequency in the EHR and submit prescription refills on behalf of the NP. Send orders for acute issues to Assisted/Independent Living facilities (AL/IL) on behalf of the NP.</p></li></ul></div><div><ul><li><p>
Medical Records: Send medical records requests on behalf of the NP; fax progress notes and records to specialists, PCPs, home health, and hospice agencies for care coordination.</p></li></ul></div><div><ul><li><p>
Compliance: Track and manage death certificate requests. Send home health certifications to the Central Business Office (CBO). Serve as a liaison for unprocessed medical records requests between HealthMark and the patient/requestors.</p></li></ul></div><p></p><div><p><b><br>
Qualifications</b></p></div><div><ul><li><p>
Experience: Previous experience in a healthcare administrative or patient care coordination role is preferred, especially in a geriatric or primary care setting.</p></li></ul></div><div><ul><li><p>
Technical Skills: Proficiency with Electronic Health Record (EHR) systems (e.g., Athena) and scheduling platforms (e.g., Carelink).</p></li></ul></div><div><ul><li><p>
Knowledge: Strong understanding of medical terminology, insurance verification, authorization processes, and common clinical workflows (e.g., lab orders, referrals, prescription refills).</p></li></ul></div><div><ul><li><p>
Attributes: Exceptional organizational skills, attention to detail, strong verbal and written communication, and a compassionate, patient-centered approach.</p></li></ul></div></div></div>

Geriatric Patient Engagement

US Department of Veterans Affairs

Senior Social Worker (PCMHI)

21st Century Home Health Services Inc.

<div><div><b>At 21st Century Home Health Services (21HHS)</b>, we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties&mdash;and <b>we are actively expanding into Marin and Sonoma counties!</b></div><div></div><div><br>
Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.</div><div>
We&rsquo;ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.</div><div></div><div><b><br>
Key achievements include:</b></div><div></div><div><b><br>
San Francisco Chronicle Top Workplaces in the Bay Area</b>: Ranked 3rd among all medium-sized companies and 1st among home health agencies.</div><div></div><div><b><br>
National Recognition</b>: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.</div><div></div><div><br>
Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.</div><div></div><div><b><br>
Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.</b></div><div></div><div><br>
Our Clinical Social Worker (LCSW or MSW) assist our patients and their families/caregivers by assisting them with education and support as they cope with their recent diagnosis. Most of our patient focus is the geriatric population which requires an understanding of local community resources, long term/short term care planning to help improve their lives.</div>
<div></div>
<div><b>Job Types</b>: Full-time</div>
<div><b>Territory: Alameda County</b></div>
<h3 class="jobSectionHeader"><b>Why you should come work with us as a Medical Social Worker:</b></h3><ul>
<li>We value our team and understand that work-life balance is important.</li>
<li>Benefits: Medical, Dental, Vision, PTO, Life Insurance, Travelers Insurance, HSA and 401K w/ matching, Flexible Spending Accounts (FSAs), Pet Insurance and More!</li>
<li>Flexible schedules: Create your own weekly work schedule.</li>
<li>Reimbursements: Mileage, Parking, CPR, Continued Education Units</li>
</ul><h3 class="jobSectionHeader"><b>What you'll do as a Medical Social Worker (MSW) Home Health:</b></h3><ul>
<li>Under the general direction of the Case Manager, the Social Worker assesses social and emotional factors related to the patient's illness, medical and nursing requirements in the home. Develops and implements a plan for home social work services, including education of patients, family members and care givers. This position also coordinates with other home health staff and community resources to provide an efficient integration of care.</li>
</ul><h3 class="jobSectionHeader"><b>To be a success as a Medical Social Worker (MSW) Home Health:</b></h3><ul>
<li>Knowledge of local community resources is required.</li>
<li>Knowledge and understanding of individual development and human behavior as it relates to the effects of illness/injury; and of the influence of culture on health care.</li>
<li>Knowledge of state and federal homecare regulatory guidelines preferred.</li>
<li>Demonstrated skills in effective written and verbal communication.</li>
<li>Ability to recognize the needs and concerns of diverse groups of people.</li>
<li>Ability to maintain harmonious constructive working relationships with internal and external customers (patients, families, members of the interdisciplinary team, clerical and management staff, physicians and community resources).</li>
<li>Must have well developed social work assessment and clinical skills as well as time management skills.</li>
<li>Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, think critically to both effectively plan and organize department operations consistent with our strategic and operating objectives and to effectively solve unique problems as they arise or identify when to consult supervisor.</li>
<li>Must be able to deal with challenging work environment with time demands and occasional conflicting priorities.</li>
<li>Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements.</li>
<li>Is responsible for maintaining all required licensure and certifications.</li>
<li>At orientation and annually thereafter, must be able to meet our core competencies for position and area of specialty, as appropriate.</li>
<li>Masters Degree from a program accredited by the Council on Social Work Education required.</li>
<li>Basic Life Support Certification - BLS required.</li>
<li>Driver License</li>
<li>LCSW License is highly preferred (Supervision provided to license eligible Social Workers)</li>
<li>Automobile Insurance required</li>
<li>One year of experience as an MSW in a health care setting is strongly preferred.</li>
<li>Home Health experience preferred</li>
<li><i>You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high-quality patient care and to meet the needs of our growing organization.</i></li></ul><div></div><div><br>
Follow 21HHS on Linkedin!</div><div></div><div><i><br>
21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.</i></div>
<p>
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</p></div>

Clinical Social Worker (MSW or LCSW)

Highmark Health

<div><h2 class="jobSectionHeader"><b>Company :
</b></h2>Highmark Inc.
<h2 class="jobSectionHeader"><b>Job Description :
</b></h2><p><b>JOB SUMMARY
</b></p><p></p><p>This job serves as the single point of contact for members to coordinate all of the member&rsquo;s care needs across the various service delivery systems and community supports. This is a full-time community-based position requiring frequent travel within the assigned territory in DE. A significant portion of this role involves working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to members&rsquo; homes, nursing facilities, and other community-based settings for individuals enrolled in DSHP Plus LTSS and DSNP.
</p><p></p><p><b>ESSENTIAL RESPONSIBILITIES
</b></p><ul><li><p>Conduct regular in-home and nursing facility visits: Travel to members&rsquo; homes, nursing facilities, and other community-based settings to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols. This includes actively working within the nursing facility environment and participating in NF care plan conferences to ensure member needs are met.
</p></li><li><p>Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting.
</p></li><li><p>Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. This includes ensuring appropriate care transitions between home, community, and community-based care settings.
</p></li><li><p>Authorize LTSS services based upon completion of a comprehensive needs assessment. Coordinate HCBS services, Medicaid and DSNP benefits and assess appropriateness of care and services in community.
</p></li><li><p>Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member&rsquo;s specific needs.
</p></li><li><p>Educate members or caregivers regarding health care needs, available benefits, resources and services including available options for long term care community or facility-based service delivery.
</p></li><li><p>Provide education, resources, and assistance to help members achieve goals as outlined in their plan of care and to overcome obstacles to achieving optimal care in the least restrictive environment.
</p></li><li><p>Develop individualized care plans in conjunction with members or caregivers to identify services to meet the member&rsquo;s specific needs, and goals.
</p></li><li><p>Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management.
</p></li><li><p>Collaborate with the member's health care and service delivery team including the physical, behavioral health providers, ICT, and discharge planners, to coordinate the care needs and community resources for the member to maintain the member in the least restrictive safe environment possible.
</p></li><li><p>Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage.
</p></li><li><p>Ensure approved support services are being provided as outlined in the plan of care.
</p></li><li><p>Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy &amp; procedures and state contractual requirements.
</p></li><li><p>Assist members in overcoming obstacles to optimal care through connection with community resources, including communicating with providers and formulating an appropriate action plan.
</p></li><li><p>Document all case management services and intervention in the electronic health record.
</p></li><li><p>Adhere to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards.
</p></li><li><p>Perform other duties as assigned/requested.
</p></li></ul><p></p><p><b>QUALIFICATIONS
</b></p><p></p><p><b>Required
</b></p><ul><li><p>Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living <b>OR
</b></p></li><li><p>Master&rsquo;s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home health, hospice, public health, or assisted living <b>OR
</b></p></li><li><p>Current State RN or LPN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) and 2 years of experience in long-term care, home health, hospice, public health, or assisted living <b>OR
</b></p></li><li><p>A high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population.
</p></li></ul><p></p><p><b>Substitutions
</b></p><ul><li><p>None
</p></li></ul><p></p><p><b>Preferred
</b></p><ul><li><p>One year in home clinical or case management experience
</p></li><li><p>Certified Case Manager (CCM)
</p></li><li><p>Licensed Bachelors Social Worker (LBSW)
</p></li><li><p>Licensed Masters Social Worker (LMSW)
</p></li><li><p>Licensed Clinical Social Worker (LCSW)
</p></li><li><p>Experience working with HIV/AIDS population
</p></li><li><p>Experience working with behavioral health population
</p></li><li><p>Experience working with developmental disabilities population
</p></li><li><p>Medicare and Medicaid experience
</p></li><li><p>Managed care experience
</p></li></ul><p></p><p><b>SKILLS
</b></p><ul><li><p>Working flexible hours to meet member&rsquo;s needs
</p></li><li><p>Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)
</p></li><li><p>Reliable transportation daily to be able to travel within assigned territory
</p></li><li><p>Ability to meet regulatory deadlines.
</p></li><li><p>Has a dedicated home work space used only for business purposes and is able to comply with all telecommuter policies.
</p></li><li><p>Experience in geriatric special needs, behavioral health, home health
</p></li><li><p>Understanding of the importance of cultural competency in addressing targeted populations.
</p></li><li><p>Experience with electronic documentation system(s)
</p></li><li><p>Experience with cost neutrality and budgeting
</p></li></ul><p></p><p><b>Language (Other than English):
</b></p><p>None
</p><p></p><p><b>Travel Requirement:
</b></p><p>25% - 50%
</p><p></p><p><b>PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
</b></p><p></p><p><b>Position Type
</b></p><p>Works From Home
</p><p></p><p>Teaches / trains others regularly
</p><p>Occasionally
</p><p></p><p>Travel regularly from the office to various work sites or from site-to-site
</p><p>Occasionally
</p><p></p><p>Works primarily out-of-the office selling products/services (sales employees)
</p><p>Never
</p><p></p><p>Physical work site required
</p><p>Yes
</p><p></p><p>Lifting: up to 10 pounds
</p><p>Constantly
</p><p></p><p>Lifting: 10 to 25 pounds
</p><p>Occasionally
</p><p></p><p>Lifting: 25 to 50 pounds
</p><p>Rarely
</p><p></p><p><b><i>Disclaimer: </i></b><i>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.
</i><br>
<br>
<b><i>Compliance Requirement </i></b><i>: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
</i><br>
<br>
<i>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&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
</i><br>
<br>
<i>Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;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.
</i></p><p><b>Pay Range Minimum:
</b></p>$72,700.00
<p></p><p><b>Pay Range Maximum:
</b></p>$116,600.00
<p></p><p><i>Base pay is determined by a variety of factors including a candidate&rsquo;s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
</i></p><p></p><p>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.
</p><p></p><p>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.
</p><p></p><p>For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
</p><p></p><p>California Consumer Privacy Act Employees, Contractors, and Applicants Notice</p></div>

Case Manager Long-term Care - (Delaware)

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