LMSW Care/Case Manager
CenterWell Senior Primary Care
full-time
Posted on:
Location Type: Hybrid
Location: Las Vegas • Nevada • 🇺🇸 United States
Visit company websiteSalary
💰 $65,000 - $88,600 per year
Job Level
Mid-LevelSenior
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementcare planningtriage guidancepsychoeducationdocumentationhome visitsfield safety practicespatient assessmentinterdisciplinary coordinationchronic health condition education
Soft skills
communicationleadershipmotivationconsultationteam collaborationproblem-solvingpatient advocacyempathyconfidentialityfacilitation
Certifications
Master's in Social Work (MSW)Licensed Master Social Worker in Nevada (LMSW)