What are the responsibilities and job description for the Social Worker (MSSP) position at CalOptima?
Social Worker (MSSP)
CalOptima Health is seeking a highly motivated an experienced Social Worker (MSSP) to join our team. This Social Worker (MSSP) will assess prospective members for the various programs available. The incumbent will be responsible for developing, implementing, monitoring, modifying and documenting care plans. The incumbent will accept referrals for case management and will make recommendations for the appropriate level of care and measures needed to successfully manage care.
Collaborates with an interdisciplinary team to identify and work toward timely resolution of issues related to psychosocial needs, including assistance with financial issues, transportation and community support services.
Assists in the coordination of the member’s identified psychosocial needs, utilizing community resources and support when appropriate.
Works with external utilization management personnel and the community in identifying members who could benefit from case management services and to actualize service plans.
Provides social work consultation and education to members and their families and acts as an advocate as needed.
Analyzes assessments to identify individual needs and resources that are most appropriate to meet the member’s needs.
Monitors all services provided to members and ensures necessary and available resources are being utilized.
Evaluates and anticipates members’ needs, provides support, and maintains a role as the members’ liaison while forecasting independence and decision-making on their part.
Provides referrals based on the members’ assessed needs.
Partners and communicates with the members, family members, significant other(s), physicians and other health care providers to accomplish goals identified on the care plan.
Participates in proactive identification of members appropriate care management.
Initiates appropriate follow-up care and develops individual care management service / care plans incorporating assessment, education, resource planning and coordination of services of those patients accepted for case management.
Accepts referrals for case management and serves as CalOptima Health’s liaison to community agencies, organizations and State of California personnel.
Maintains documentation of case management plans / interventions and statistics required to demonstrate the impact of case management or quality, cost effective care.
Initiates case conferences as needed.
25% - Support Services
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.
Develops and maintains a network of current community resources and services where members can be referred for assistance.?
5% - Other
Completes other projects and duties as assigned.
Minimum Qualifications :
Master’s degree in social work PLUS 2 years of experience working with the gerontology population required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Experience with behavioral health, health facility, health plans, counseling, case management, home health or hospice required.
Valid driver’s license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 50% of the time or more.
Preferred Qualifications :
Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
Required Licensure / Certifications :
N / A
To apply and see full details, visit : https : / / apptrkr.com / 5878911
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