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Social Work Case Managers, Behavioral Health

Location: Baltimore BHI
Job Code: 1409

Description

Bravo Health, one of the fastest growing managed care organizations in the US, is a premier provider of Medicare Advantage plans, dedicated to offering senior citizens access to high quality, cost-effective health care.

Founded in 1996, Bravo Health provides health care plans to more than 300,000 members, in MD, DC, DE, NJ & PA as well as Part D Prescription Drug Plans in 43 states.

As a leading health services company, our mission is to create extraordinary value for our customers. Through our commitment to service and quality, we continually strive to be the preferred health care choice in each of the communities we serve.

As a result of our continued success, we currently have an opportunity available for a Case Manager (RN) – Behavioral Health.

Position Summary:

The Social Work Case Manager (CM) works with the member, the member’s family and providers involved in the member’s care to coordinate the services necessary to help reduce preventable hospitalizations. The CM is responsible for developing a plan of care for the member in conjunction with the members’ PCP and specialist. The CM will assist in actuating the Plan of Care. This will involve working with the member to close clinical and pharmacy care gaps, mitigating non-clinical barriers to care, and facilitating the coordination of benefits as required. The CM will act as a liaison between the member, community-based resources, and health care providers and institutions. The CM must understand, support, and promote the mission statement, objectives, and procedures of Bravo Health.

Duties and Responsibilities:

  • Provides Telephonic Case Management to assigned members
  • Develops an individualized plan of care and implements the plan
  • Communicates with nursing staff, physicians, nurse practitioners and other health workers involved in the care of a member
  • Coordinates with member, family, and caregivers to help resolve barriers to care
  • Evaluates member/family strengths, health behaviors, and resources
  • Intervenes with at-risk members to avoid unnecessary hospitalizations
  • Successfully collaborates with member and family to assure comprehension of available resources
  • Considers member/family physical, educational, and financial resources
  • Other duties as required

Clinical Triage: As needed some Social Work Case Managers will assist with the triage process in the Case Management department including but not limited to completing the appropriate assessment and routing for long term case management. Resolving any immediate issue for members after screening but prior to routing for Case Management (i.e. urgent pharmacy issues, urgent PCP issues)

Qualifications:

  • Licensed Graduate Social Worker with 2-4 years related experience
  • Medicare experience with geriatric populations
  • Managed behavioral health or facility-based psychological case management experience
  • Experience with community resource organizations
  • Experience handling confidential health care information, with care management software applications
  • Experience with / exposure to the case management of transplant candidates and recipients
  • Excellent interpersonal and communications skills
  • Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environments
  • Ability to make decisions on what needs to be done based on clearly established guidelines
  • Able to work in a dynamic, fast-paced team environment and to promote team concepts
  • Spanish language ability is desirable
  • Substantial knowledge of Microsoft Office including SharePoint, Outlook, PowerPoint, Excel and Word.

At Bravo Health, we recognize and reward your knowledge, skills, experience and dedication to excellence with attractive compensation plans and an impressive benefits package that includes:

  • Medical and dental insurance along with prescription and vision coverage
  • Participation in a 401K plan with a company match
  • A generous tuition reimbursement plan
  • Company-paid, life and AD&D insurance as well as company-paid short-term and long-term disability coverage.
  • Considerable Paid-Time-Off

If you are interested in learning more about how you can become part of our dynamic, high-growth organization that provides opportunities for our members and our employees to “Live Life Well”, we encourage you apply today.





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