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Posted: Friday, September 29, 2017 7:19 AM

Responsible for the timely coordination of quality health care services to meet the memberA?s specific health care and social needs in a cost:effective manner to promote positive outcomes. Performs investigations and holistic assessments, provides intervention support or referrals and works effectively in a multidisciplinary team.Collaborates closely with the care management team to ensure social determinants of health have no negative impact on the memberUndertakes casework for more complex cases in an elderly/disabled population.Assesses members through phone calls and home visits and assists with development of the individual care plan (ICP) to meet their needs.Coordinates community resources for provision of basic services.Refers members for screening of LTSS and other waiver servicesProvides referrals for brief and immediate crisis intervention (i.e. AdultProtective Services).Conducts complex investigations and holistic assessments to include the memberA?s physical, mental and psychosocial state.Provides appropriate service referrals to members and support to their families and caregivers.Acts as liaison with the local department of social services and other community agenciesAssists members with maintaining their Medicaid eligibilityWorks with internal and external multidisciplinary teams in service planning and making referrals.Maintains accurate records and files related to work performed.Participates on the interdisciplinary care team (ICT)MINIMUM EDUCATION REQUIREMENTSBSW requiredMSW preferredSPECIAL KNOWLEDGE AND/OR SKILLSStrong oral and written communication skillsPC literate with working knowledge of Microsoft Office and various other computer software programsAbility to work and communicate with diverse cultural groupsFamiliarity with medical and elder care resourcesDemonstrated ability to work effectively in multi:disciplinary teamWORK BACKGROUND/EXPERIENCEMinimum of 3 years clinical experience and/or current managed care experienceExperience working with elderly and/or disabled populationsExperience working in community based long term care PHYSICAL REQUIREMENTSPhysical health sufficient to meet the ergonomic standards and demands of the position.Some local travel may be required About UsVirginia Premier Health Plan, Inc. is a managed care organization which began as a full:service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant:At:Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE Our mission is to inspire healthy living within the communities we serve

Source: https://www.tiptopjob.com/jobs/72687804_job.asp?source=backpage


• Location: Northern Virginia

• Post ID: 38500777 nova
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