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Care Manager, Social Worker
Monogram Health. Perform in-home and telehealth care management visits to assess and determine social and behavioral status .
About the role
Key responsibilities & impact- Perform in-home and telehealth care management visits to assess and determine social and behavioral status
- Work closely with Care Team to ensure collaboration and optimal patient outcomes
- Assess social determinants of health needs and develop a plan for addressing them
- Identify, vet, and build relationships with local Community-Based Organizations
- Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes
- Serve as subject matter expert on social determinants for other members of the Care Team
- Complete behavioral, environmental, and social support assessments
- Deliver individual, family and group education on living with chronic illness
- Engage family and social support groups in the education and care of patients
- Assess patients and refer to behavioral health specialists if diagnosis and treatment needed
- Help patients to understand, accept and follow medical and lifestyle recommendations
- Review and document patient updates and progress in care management platform
Requirements
What you’ll need- Currently licensed as a LCSW or LMSW in the posted state
- Master’s degree in social work and passed ASWB masters or clinical exam
- Basic Life Support (BLS) certification is required in this role
- Self-starter with the ability to work independently with minimal supervision
- Ability to show empathy and quickly build relationships with patients and local CBOs
- Preferred 2+ years previous experience working in care management and/or with chronic illness
- Excellent verbal communication skills both in person and on the phone
- Familiarity with Microsoft Office and mobile phone and web-based applications
Benefits
Comp & perks- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
social workcare managementbehavioral assessmentsenvironmental assessmentssocial support assessmentschronic illness educationreferral completionpatient progress documentation
Soft Skills
empathyrelationship buildingindependencecommunicationcollaborationself-starter
Certifications
LCSWLMSWBasic Life Support (BLS)ASWB masters examASWB clinical exam