Centers Plan for Healthy Living

  • Social Worker

    Job Locations US-NY-Staten Island
    Posted Date 6 months ago(12/19/2017 11:29 AM)
    # of Openings
    Complex Care
  • Overview

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    Assesses, formulates plans and provides assistance to members and their families in conjunction with the interdisciplinary team. Provides social services support to the member and/or caregiver as identified.  Provides support to members who are transitioning from an acute care facility back to the community.  Provides support to Complex Care Managers and other departments in day-to-day care management activities as needed.

    Reports to Director of Complex Care and shares a collaborative relationship with the Complex Care Management Team and other departments involved in member’s care.






    • Assess individuals with mental, emotional, or substance abuse problems, including abuse of alcohol, tobacco, and/or other drugs. Activities may include, crisis intervention, case management, client advocacy, prevention, and education.
    • Is knowledgeable of the National Association (NASW) of Social Worker's Code of Ethics and Standards of Practice and strives to maintain that level of professional self-awareness.
    • Is knowledgeable of the privacy practice as set forth by the Health Insurance Portability and Accountability Act (HIPPA) and applies those practices to verbal, written and technological sharing of all member information.
    • Performs an assessment of member specific social, emotional and community service needs.
    • Works with interdisciplinary care team in creating a plan of care for a member to help improve health outcomes.
    • Identifies caregiver support needs in order to promote the psychosocial wellbeing and safety of the member in their own environment.
    • Evaluates the appropriateness of an ongoing intervention and assesses for the need to continue and/or change the intervention in order to promote safe and positive psychosocial outcome of that intervention.
    • Assessments and evaluations to be performed face-to-face in member’s home, in the office, in the Long Term facilities or by telephone based on the member and/or caregiver need.
    • Facilitates the referral to the available community resources to support the member’s identified needs.
    • Promotes member self-reliance and protection through the provision of community-based services.
    • Promotes the collaborative care relationship between the member, the caregiver and the community resource.
    • Assists with the coordination of the member's health care and social service needs to optimize measurable psychosocial outcomes.
    • Establishes and maintains a cooperative flow of communication with the appropriate acute care and sub-acute care institutions, physician office practices, and community organizations.
    • Engages in those activities required to develop and maintain a current database and materials related to community accessible care management resources.
    • Ensures that all job responsibilities are carried out in compliance with CCS policies, New York State and Federal regulations.




    Additional responsibilities may include:


    • Prepares weekly statistics for reporting purposes.
    • Demonstrates the primary goal of member satisfaction by interacting positively with members, their caregivers, member care providers and providers.
    • Completes daily activities in a professional, respectful, courteous, confidential, and caring manner.
    • Develops and maintains a professional collaborative relationship with community partners.
    • Maintains a comprehensive understanding of the member health contracts associated with members identified as eligible for Medicaid and Medicare.
    • Maintains a cooperative communication flow relating to the ongoing internal changes within the management processes.
    • Utilizes a cooperative and respectful presence in the communication, organization and follow thru in a team-oriented environment.
    • Participates in continuing education activities.
    • Participates in established CQI activities.
    • Performs other duties as assigned.







    • Social Work Masters (MSW) Level Degree required
    • LMSW, LCSW, CCM preferred
    • Strong knowledge base and experience in local social service agencies
    • Experience in a Managed Care environment preferred, especially Medicaid and Medicare
    • Proficiency with personal computers and business software (Microsoft Office)
    • Excellent interpersonal and communication skills





    The physical demands described here represent those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to stand; walk; and use hands to finger, handle, or feel objects, tools, or controls.  The employee is occasionally required to reach with hands and arms.  The employee must occasionally lift and/or move up to 15 pounds.  Specific vision abilities required by this job involve normal vision.



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