Kaiser Permanente
Location
Falls Church, Virginia
Collaborates with the healthcare team to facilitate cost-effective care plans and assess member health status and social support systems. Provides supportive counseling, manages caseloads, and assists members in navigating health systems and community resources.
Requires a Master's degree in Social Work (MSW) and at least two years of case management or three years of clinical experience. Candidates must obtain LCSW licensure in Virginia, DC, and Maryland within six months of hire.
Responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care to help achieve their optimal level of independence and enhance quality of life.
In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment. Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources. Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives. Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards. Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community resources. Coordinates care across the care continuum for members receiving behavioral health and substance abuse services. Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
Case Manager Certificate (CCM) preferred.
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Minimum one (1) year of recent experience with nephrology or renal population preferred. Strong Computer skills, communication skills and experience with Electronic Medical records within your background preferred.
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