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About Fallon Health:Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated, integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly (PACE). Dedicated to delivering high quality health care, we are continually rated among the nation’s top health plans for member experience and service and clinical quality.
Brief Summary of Purpose:
The Social Work Care Manager (SWCM) works very closely with ACO and other product Partners, Community Partners, and/ or community based groups to address service gaps and serves as a liaison to social and health resources on behalf of Fallon Health and the Fallon Health Care Management Models of Care.
The SWCM collaborates and coordinates with State Agencies, DMH, DDS, DYS, DCF to ensure members care is efficient and coordinated.
The SWCM provides social service coordination services to members as referred assessing member needs, services and resources to address social, health, or economic needs and facilitates referrals and collaboration with Provider Care Teams and BH Partners in the community.
The SWCM assists the member and or family to provide care utilizing FH benefits and/or community resources developing a plan to coordinate a continuum of care consistent with the members’ health care needs and/or goals. The SWCM uses their knowledge of benefit plan design, eligibility and/or financing alternatives available within the community to provide options that meet member’s needs.
The SWCM identifies services, care delivery settings, and funding arrangements that meet the needs of the members. He/She recommends alternatives where appropriate. The SWCM monitors services and provides consistent feedback to the team on progress.
The SWCM collaborates and works with members of the Care Team both at Fallon Health and at the Community Partners during time of member transition of care.
May attend in person care planning meetings, care coordination meetings, partner communication meetings, and other face-to-face meetings with providers, partners, and members to perform assessments, train staff, coordination communication and otherwise represent Fallon Health in a positive way.
Job Responsibilities:
Member Care Coordination and Collaboration
Education:
Master’s degree from an accredited school of social work, mental health counseling, psychology, or human services required.
License/Certifications:
Other:
Satisfactory Criminal Offender Record Information (CORI) results.
Experience:
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Fallon Health Vaccination Requirements:
To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Other
$73k-99k (estimate)
01/20/2023
05/17/2023
fallonhealth.com
Charlton, MA
<25
The job skills required for Social Work Care Manager include Social Work, Case Management, Health Care, Planning, Leadership, Coordination, etc. Having related job skills and expertise will give you an advantage when applying to be a Social Work Care Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Social Work Care Manager. Select any job title you are interested in and start to search job requirements.