Care Coordinator I / Social Worker - Health Alliance Plan
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s degree in Social Work required. Master’s degree in Social Work, preferred.
- Two (2) years of case management experience in inpatient and outpatient medical care, long-term care, managed care, home health care, behavioral health settings.
- Two (2) years of experience in waiver or long term support services settings, preferred.
- Medicaid/Medicare and/or HMO experience (Managed Care experience), preferred.
- Five (5) years or more of experience in case management in inpatient or outpatient medical care, long term care or home health care, behavioral health, waiver or long term support agencies, preferred.
- Experience with electronic health and case management systems, preferred.
- Participate in Performance Measurement Criteria by: cost reductions, admission statistics, accuracy of data, and accuracy of interpretation of concurrent reviews.
- Self-starter who is analytical, organized, intuitive, and investigative.
- Good written and interpersonal communication skills.
- Strong problem-solving skills, extensive telephone involvement and Care Management coordination.
- Manual dexterity to operate PC (MS Word, Excel).
- Excellent customer service.
- Knowledge of medical terminology and ICD-9 and CPT coding.
- Follows State and Federal HMO regulations as related to Utilization Management.
CERTIFICATIONS/LICENSURES REQUIRED:
- Must be a Licensed Bachelor’s Social Worker (LBSW) or a Limited Licensed Master’s Social Worker (LLMSW) in the state of Michigan without prior or current restrictions.
- Michigan Driver’s Licenses without restrictions.
- Have regular access to a registered vehicle with no fault insurance coverage in your name.
- Certified Case Manager, preferred.
- Qualified Mental health Professional (QMHP) certification, preferred.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.