What are the responsibilities and job description for the Social Work Care Coordinator - ICN position at Blue Cross and Blue Shield of Alabama?
Overview
Department Overview
Alabama Select Network is an Integrated Care Network (ICN) providing enhanced case management, education and outreach services to Medicaid members needing long term services and supports. Long term services and support include care in the home or community that assist the eligible individual to remain in the home and prevent or delay nursing home placement.
Primary Responsibilities
This position performs care management for clients enrolled by the State of Alabama Medicaid Office. Our subsidiary provides this care management for clients enrolled in waiver programs designated by State of Alabama Medicaid and identified as high risk for permanent transition to a skilled nursing facility. Performance guidelines are in place to ensure that sound care plans are developed and acted upon in a timely manner so as to improve the clients overall health and mitigate risks to allow the client to remain in the community setting for as long as possible. This care manager performs face-to-face meetings with the client on an as needed basis to gain a full understanding of their challenges. This position will primarily provide services to home care and community based populations identified as needing care management and transitional services from inpatient facilities.
Summary of Qualifications
- Bachelors of Science in Social Work
- Active Alabama license in good standing as a Licensed Baccalaureate Social Worker (LBSW)
- Experience analyzing clinical situations and making informed decisions
- Experience in a position demonstrating exceptional written, verbal and interpersonal communications
- Experience in a position exercising independent judgement and decision making
- Experience in a position working with medical providers and/or community resource agencies
- Willingness to travel as required for the job
- Two years of complex pediatric experience is preferred
- Experience working in a home setting as a Case Manager or Care Coordinator is preferred
- Knowledge of Alabama Medicaid regulations and guidelines is preferred
Terms and Agreements
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Salary : $38,900 - $49,300