Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Case Manager - Social Worker

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Manager & Professional
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190PF Requisition #
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The position is a community based role in Harlem. The Social Work Case Manager is a behavioral health specialist who provides case management services for the chronically ill or at-risk population with an overall objective to help member’s live fuller and more meaningful lives. The Social Work Case Manager will assist in managing members with behavioral health, substance abuse, and/or psychosocial conditions/issues. The Social Work Case Manager also consults with all members on the team on behavioral health, substance abuse, and/or psychosocial issues. As a behavioral health specialist, the Social Work Case Manager facilitates member adoption of strategies to promote physician recommended behavior changes. Social Work Case Managers will help members improve health outcomes and provide feedback to members of the medical care team.

 

Responsibilities:
  • Perform member outreach – telephonically and in-person, individual needs assessment, education on early warning signs of disease and disease prevention, and identifying customers in potential need of care. Support services as well as social service supports from other organizations (community based and otherwise).
  • Provide ongoing support and education to patient and family members including regular face to face meetings at the Neighborhood Care and telephonic contact with patient and/or family to assess health status and assure treatment compliance.
  • Directs activities relating to complex social service coordination, including locating and referring patients to community resources and support while working collaboratively with providers to develop creative, cost effective continuing care plans; identifying alternate levels of care as needed and works with interdisciplinary team to achieve improved health outcomes.
  • Support activities of other Neighborhood Care team members.
  • Participate as part of the Quality and Customer Experience team by providing feedback and ideas in order to continually improve clinical metrics and the customer experience.
  • Participate in all other projects relating to community clinical programming as identified by Manager, Community Care Solutions, Manager, Program Development, AVP Community Care Strategy and Medical Management Leaders.
  • Provide general customer-level support for the EH’s offices, which include education and consultation relating to topics on wellness, health screening and simple disease management.
Qualifications:
  • Master’s degree in social work with LMSW
  • Fluency in Spanish (reading/writing) strongly preferred
  • Minimum 3-5 years of direct social work experience. Experience in a managed care setting required
  • Working knowledge of community health and support services required
  • Discharge planning or case management experience required

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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