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Case Manager I - Social Work

Company: Centene Corporation
Location: Yakima
Posted on: August 3, 2019

Job Description:

Description:
Position Purpose\: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
Develop, assess and adjust, as necessary, the care plan and promote desired outcome


Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options


Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients


Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs


Provide patient and provider education


Facilitate member access to community based services


Monitor referrals made to community based organizations, medical care and other services to support the members------ overall care management plan


Actively participate in integrated team care management rounds


Identify related risk management quality concerns and report these scenarios to the appropriate resources


Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systemsQualification:
Education/Experience\: Bachelor------s degree in Social Work. 2+ years of social work experience in an acute care or community setting. Knowledge of government sponsored managed care programs preferred.
Licenses/Certifications\: Current state------s LMSW, LMHC or LCSW license.

Keywords: Centene Corporation, Yakima , Case Manager I - Social Work, Executive , Yakima, Washington

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