Certified Social Work Case Manager~(C-SWCM), Clinical Social Worker in Gerontology~(CSW-G)
Under the general direction of the Care Management Manager, the Care Manager, MSW is responsible for working directly with the Plan, IPA medical groups, providers, hospitals, community agencies, Members/caregivers, and other entities supporting Member care to ensure coordinated, continuous care and serve as a resource person to these facilities.
Responsible for serving as a resource for IEHP Members and Providers for care management and continuity of care.
Responsible for assessing Members for appropriate care management needs:
Develop, implement, and evaluate individualized care plans (ICP)
Act as a Member advocate
Serve as a liaison between Member, caregivers, and providers
Educate and support Members/caregivers with meeting ICP goals
Assist with referrals for IEHP Members that are eligible for carve out programs such as CCS, multi-organ transplant, etc.
Assist members with immediate needs with regard to access, referrals and authorizations.
Assist member with resources such as LTSS, Disabilities, Behavioral Health, and community resources.
Responsible for any other duties as required to ensure successful care management processes and Member outcomes.
Master of Social Work degree.
Three (3) years experience coordinating care/services for seniors or persons with disabilities.
Ability to interview, assess, and coordinate care.
Knowledge of community resources and health plan benefits.
Skillful at offering information and support to Members and their families/caregivers.
Requires ability to communicate and work effectively with a variety of providers and maintain positive relationships with internal and external contact at all levels.
Research community resources.
Knowledge of computer applications, including word processing, database and spreadsheet is required.
Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan (with more than 1.26 million members) in the Inland Empire. We are also one of the largest employers in the region.
As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come.
Join our Team and MAKE A Difference with us!
IEHP offers a Competit...ive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.