ACHN Social Work Care Manager
Blue Cross and Blue Shield of Alabama
Department Overview
Our subsidiary is responsible for coordinating care for healthy eligible individuals, those with multiple chronic conditions, pregnant women, and men and women needing family planning. The goal of the program is to ensure an effective and efficient delivery of care. This area works with low income populations to improve the quality of care programs and community outreach.
Responsibilities
This position performs care management for recipients assigned by the State of Alabama Medicaid Office. Our subsidiary provides this care management for recipients enrolled in programs designated by State of Alabama Medicaid. Performance guidelines are in place to ensure that sound care plans are developed and acted upon in a timely manner so as to improve the recipient’s overall health. This care management frequently involves face‑to‑face meetings with the recipients to gain a full understanding of their challenges. This position will primarily provide services to home care and community‑based populations identified as needing care management and transitional services from inpatient facilities.
Summary Of Qualifications
Bachelors of Science in Social Work (BSW) or Masters in Social Work (MSW)
Active Alabama license in good standing as a Licensed Baccalaureate Social Worker (LBSW)
Must live and work within the region or adjoining county
Have strong verbal and written communication skills to encourage and engage recipients in plan of care
Ability to sufficiently document electronic case records including writing effective care plans and SMART goals
Ability to manage a heavy caseload
Experience analyzing clinical situations and making informed decisions
Experience in a position demonstrating exceptional written, verbal and interpersonal communications
Experience in a position exercising independent judgement and decision making
Experience in a position working with medical providers and/or community resource agencies
Willingness to travel as required for the job
Two years of complex pediatric experience preferred
Experience working in a home setting as a Case Manager or Care Coordinator preferred
Knowledge of Alabama Medicaid regulations and guideline preferred
Knowledge of community based agencies and resources is preferred
Employment Details
Seniority level: Entry level
Employment type: Full‑time
Job function: Health Care Provider
Industries: Insurance
Terms and Agreements
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