SUMMARY: Provides all aspects of care management for members that reside in Long Term Care facilities. This includes but is not limited to: assessment of health and the coordination of discharge planning with facility representative and family of member as needed. REPORTING RELATIONSHIPS: Reports to Social Work Manager and shares a collaborative relationship with the Care Management Team and other departments involved in member’s care. DUTIES AND RESPONSIBITIES: Primary Responsibilities: Is knowledgeable of the National Association (NASW) of Social Worker's Code of Ethics and Standards of Practice and strives to maintain that level of professional self-awareness. Is knowledgeable of the privacy practice as set forth by the Health Insurance Portability and Accountability Act (HIPPA) and applies those practices to verbal, written and technological sharing of all member information.Provides care management through telephonic assessments, care coordination and monitoring to ensure member receives authorized services. Works collaboratively with Care Management team as member transitions from Long Term Care to community. Provides education and support to caregivers about their role towards the member who transitions from Long Term Care to community. Promotes the collaborative care relationship between the member, the caregiver and the providing facility. Interacts with providers and facilities in a professional, respectful manner Recognizes quality of care issues and escalates the issues appropriately Complies with all CCSs standards for documentation Participates in other meetings as requested Participates in quality improvement initiatives Other duties as assigned Works with interdisciplinary care team in creating a plan of care for a member to help improve health outcomes.Additional responsibilities may include: Prepares weekly statistics for reporting purposes. Demonstrates the primary goal of member satisfaction by interacting positively with members, their caregivers and their providers. Completes daily activities in a professional, respectful, courteous, confidential, and caring manner. Maintains a comprehensive understanding of the member health contracts associated with members identified as eligible for Medicaid and Medicare. Maintains a cooperative communication flow relating to the ongoing internal changes within the management processes. Utilizes a cooperative and respectful presence in the communication, organization and follow thru in a team-oriented environment. Performs other duties as assigned.QUALIFICATIONS: Social Work Masters (MSW) Level Degree required Proficiency with personal computers and business software (Microsoft Office) Excellent interpersonal and communication skillsWe Offer Office Based PositionsCompetitive WagesHealth BenefitsDental InsuranceVision InsuranceGenerous Paid Time OffVoluntary Employee Benefit Programs401KLife InsuranceReferral Award ProgramPaid Training PHYSICAL REQUIREMENTS: The physical demands described here represent those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to stand; walk; and use hands to finger, handle, or feel objects, tools, or controls. The employee is occasionally required to reach with hands and arms. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job involve normal vision.