Care Management Social Worker

Care Management Social Worker
Dept/Div: Health/Care Management FLSA Status: Non-Exempt
General Definition of Work
Performs professional work providing care management services to clients in the Health Department, and related work as apparent or assigned. Work is performed under the moderate supervision of the Human Services Coordinator.
Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Functions
Domain 1: Data Analytics and Assessment
Collect, analyze, and manage the information gathered during the assessment process to determine whether the member meets the target population description and to determine the need for and the level of service to be provided.
Identify and describe factors that affect the health of the target population.
Access, collect and evaluate quantitative and qualitative data using various methods and tools to monitor outcomes and positively impact performance measures.
Domain 3: Communication Skills
Facilitate communication among individuals, groups, and organizations.
Utilize motivational interviewing skills to guide members in developing patient-centered goals with individualized interventions that move the member toward optimal health and wellbeing.
Educate member on diagnosed conditions, psychosocial needs, and community resources to positively influence behavior and improve health while encouraging self-management through materials that meet literacy standards.
Domain 4: Health Equity Skills
Apply principles of ethics, diversity, equity, inclusion, and justice.
Engage in continuous self-reflection and identify how biases influence policies, programs, and services.
Recognize the diversity of individuals and populations.
Achieve program goals in accordance with program guidelines, including condition-specific pathways, utilizing those interventions that are most effective in engaging members, meeting their needs, and achieving care plan goals.
Advocate for patient health and wellbeing by recognizing the diversity of individuals and involving the individual in the decision-making process through a patient-centered and collaborative partnership.
Engage in professional development to stay current in evidence-based practices.
Domain 6: Public Health Sciences
Identify public health programs and community organizations with authority to address specific health needs of the target population.
Apply public health sciences in delivering the 10 Essential Public Health Services.
Care Management Social Worker
Dept/Div: Health/Care Management FLSA Status: Non-Exempt
Advocate for patient health and wellbeing by recognizing the diversity of individuals and involving the individual in the decision-making process through a patient-centered & collaborative partnership.
Coordinate care across care team members and maintain regular communication to improve member’s care and ensure public health services are provided in a coordinated effort that does not duplicate services.
Contribute to the development of organizational strategic plan for continuous improvement.
Domain 8: Leadership and Systems Thinking Skills
Achieve program goals in accordance with program guidelines, including condition-specific pathways, utilizing those interventions that are most effective in engaging members, meeting their needs, and achieving care plan goals.
Apply critical thinking in the decision-making of services to evaluate, identify and address medical and non-medical drivers of health.
Perform assigned functions as a Disaster Ready Team (DRT) member, if appointed or volunteers.
Perform other duties as assigned.
Knowledge, Skills, and Abilities
Considerable knowledge of social work principles, techniques, and practices and their application to individual casework group work and community problems. Knowledge of the psychosocial, socioeconomic, and behavioral problems and their treatment. Knowledge of governmental and private organizations and community resources. Knowledge of laws, regulations and policies which govern the program. General knowledge of medical terminology, disease processes and their treatment are required in certain programs or settings. Skill in establishing rapport with a client and applying techniques of assessing psychosocial. Behavioral, and psychological aspects of client's problem. Ability to establish and maintain effective working relationships with administrative superior members of caseload and their families, and with civics medical, social, and religious organizations. Ability to train or instruct lower-level social workers, students, or interns. Ability to express ideas clearly and concisely and to plan and execute work.
Ability to operate a personal computer, standard office productivity software and proficiency with the technologies required to perform care management functions. A high level of professionalism and possess appropriate skills needed to work effectively with the target population at high risk for adverse health outcomes. Ability to effectively communicate with families and providers. Critical thinking skills, clinical judgment, and problem-solving abilities.
Education and Experience
Employ care managers meeting CMHRP/CMARC competencies defined as having at least one of the following qualifications:
i. Social workers with a Bachelor of Social Work (BSW, BA in SW, or BS in SW) or Master of Social Work (MSW, MA in SW, or MS in SW) from a Council on Social Work Education (CSWE) accredited social work degree program.
ii. Registered nurses
iii. Bachelor’s degree in a human service field with 5 or more years of care management/case management experience working with the specific population of low-income, pregnant individuals and/or children ages 0 to 5 years
iv. Bachelor’s degree in a human service field with 3 or years of care management/case management experience working with the specific population (low income, pregnant individuals and/or children ages 0 to 5 years and has certification as a Case Manager (CCM preferred)
Care Management Social Worker
Dept/Div: Health/Care Management FLSA Status: Non-Exempt
Note: Case managers providing services to the CMHRP/CMARC population hired prior to Sept. 1, 2011 without a Bachelor’s or Master’s degree in Social Work may retain their existing positions only. This grandfathered status does not transfer to any other position.
Physical Requirements
This work requires the occasional exertion of up to 10 pounds of force; work regularly requires sitting, speaking or hearing, using hands to finger, handle or feel and repetitive motions, frequently requires standing, walking, reaching with hands and arms and pushing or pulling and occasionally requires lifting; work has standard vision requirements; vocal communication is required for expressing or exchanging ideas by means of the spoken word and conveying detailed or important instructions to others accurately, loudly or quickly; hearing is required to perceive information at normal spoken word levels and to receive detailed information through oral communications and/or to make fine distinctions in sound; work requires preparing and analyzing written or computer data, visual inspection involving small defects and/or small parts, operating motor vehicles or equipment and observing general surroundings and activities; work occasionally requires wet, humid conditions (non-weather), exposure to fumes or airborne particles and exposure to outdoor weather conditions; work is generally in a quiet location (e.g. library, private offices).
Special Requirements
Valid driver's license.
Last Revised: 04/4/2025