Hybrid LMSW Care/Case Manager

at CenterWell Senior Primary Care

• Job title: LMSW Care/Case Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $65,000 - $88,600 per year
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, Las Vegas, United States

About the role

• Care Navigator engaging high-risk patients, implementing interventions and coordinating care efforts in a hybrid role for CenterWell Senior Primary Care. Requires MSW and LMSW in the Las Vegas area.

Responsibilities

• Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups
• Provide triage guidance and supportive consultation to other team members, handling escalated complex cases
• Develop care plans leveraging 5Ms Geriatric best practice framework
• Develop a wholistic view of patient needs related to Social Determinants of Health
• Identify existing barriers to engagement with necessary resources and supports
• Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
• Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
• Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
• Supporting patients’ self-determination, motivate patients to meet the health goals they have identified
• Refer patient to necessary services and supports
• Lead Interdisciplinary Team Meetings when indicated
• Assess patient’s family system, and conduct family meetings with patient and family when needed
• Participate in creation and facilitation of team training content
• Conduct group psychoeducation and support groups within the Center
• Perform all other duties and responsibilities as required
• Participate in and lead interdisciplinary review of and coordination around complex patients
• Maintain patient confidentiality in accordance with HIPAA
• Document patient encounters in medical record system in a timely manner

Requirements

• Master's in Social Work (MSW)
• Licensed Master Social Worker in Nevada (LMSW)
• Minimum of 4 years of experience working in healthcare services and navigating community-based resources
• Familiarity with state Medicaid guidelines and application processes
• Experience working with patients with behavioral health conditions and substance use disorders
• Prior experience conducting home visits and knowledge of field safety practices

Benefits

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents