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.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at 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. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. 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. 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 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 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.