Field Based LCSW Care Manager / 3416 Job in Syracuse 13201, New York US
Position Description
Field Based LCSW Care Manager / 3416
Position Description:
At APS Healthcare, we are passionate about changing behaviors of all constituents in the healthcare system to improve health, optimize clinical quality, and reduce associated costs. Our mission is quite simply to improve the health of those we serve.
APS is managing the Northeast Population Health Management (NPHM) Program, which provides utilization management services and supports high and moderate-risk clients with chronic illness through field disease management and medical care coordination. This program supports providers and assists clients in becoming and staying healthy by coordinating treatment coverage, reinforcing treatment plans and by educating patients on making responsible decisions about their healthcare.
APS is looking for a field based LCSW Care Manager to support this exciting program. The LCSW will provide site visits for covered members, focusing on member engagement, education and empowerment to self manage their chronic health conditions. This individual supports and encourages healthy lifestyle choices, health promotion, and behavioral change through motivational interviewing and incorporating behavioral change theories to reduce long term effects of chronic disease. The position will require travel throughout the Syracuse area.
Responsibilites:
• Provides one on one in person health-coaching and consultation services to participants, within state licensure scope of practice requirements. Conducts health risk assessments, introduces case management services, identifies and addresses barriers to treatment adherence and educates members about healthy lifestyle choices within state licensure scope of practice requirements.
• Collaborates with participants to establish goals and provides ongoing support to members they strive to make and sustain healthy lifestyle choices. Provides participants with educational material and program introductory material, providing reinforcement of educational topics.
• Collaborates with primary care/treating physicians as well as medical home and other healthcare professionals to obtain specific current health information in regards to members’ plan of care.
• Reviews data from variety of sources to assist in identifying co-morbid conditions, hospitalizations, prescriptions and other factors that could impact the educational and support of the individual. Integrates data identify problems, set goals, plan interventions and determine overall health status within scope of practice.
• Documents all activities per APS policies and procedures.
Education:
• Master's Degree in Social Work required.
• Current, unrestricted LCSW licensure in NY is required.
Qualifications:
• Minimum 3 years clinical experience required. Previous experience in a care management, quality improvement, medical record reviews, disease management and/or case management strongly preferred.
• Knowledge of Medicare/Medicaid.
• Knowledge of adult learning and behavior change principles preferred.
• Knowledge of chronic illnesses, co-morbidities and disease management
• Knowledge of community based resources.
• Clinical assessment skills, consistent with state licensure scope of practice requirements.
• Excellent written verbal communication skills.
• Strong telephonic interviewing skills.
• Proficient in Microsoft Office, Internet/Web Navigation.
• Strong prioritization and organizational skills.
• Ability to assess patient health status, consistent with state licensure scope of practice requirements.
• Must be able to integrate data, prioritize and target interventions, consistent with state licensure scope of practice requirements designed to support long term behavioral change.