The Social Work Case Manager Sr will be dedicated to the NJ Healthy Homes program and will be responsible for ensuring coordination of Housing Services with all other services provided to NJ Medicaid members. This associate will work with the LTSS (Long-Term Services and Support) Housing Specialist to ensure that we have the structure and systems in place to ensure successful provision of services to members in the Healthy Homes. Wellpoint NJ will be placing Medicaid members in Healthy Homes program units according to the Healthy Homes Program Guidance issued by DMAHS (Division of Medical Assistance and Health Services). Members placed in a Healthy Homes unit may be eligible for Housing Support Services once they become available.
Primary duties may include, but are not limited to:
Creating an integrated housing strategy as well as housing related policies and procedures.
Cultivating stakeholder relationship.
Provide oversight of all house-related services and Wellpoint housing staff.
Coordinate Housing Specialists' duties.
Ensure Wellpoint NJ has the structure and systems in place to ensure successful provision of services to NJ Medicaid members in the Healthy Homes or MLTSS (Managed Long-Term Services and Support) programs or transitioning to the community from a nursing facility.
Networks with other community resources.
Provides referrals within benefits structure.
Develops and implements a metric system that tracks baseline levels of functioning throughout course of social work services by constructing necessary instruments that focus on identified psychosocial needs.
Monitors and evaluates effectiveness of the social work goals.
Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the members responsiveness to resources rendered.
Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified.
Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs.
Assists with evaluating members' strengths related to health and psychosocial self-management, develops strategies to support healthcare needs and implements plans in support of case decisions.
Facilitates and coordinates behavioral health resources as individual member needs are identified.
Participates in NJ state audit activities and assists management of day-to-day housing activities, such as monitoring and prioritizing social work task-list workflow.
Serves as first line contact for conflict resolution regarding housing.
Develops a social work module of training for staff social workers/housing specialists.
Develops training materials, completes quality audits, performs process evaluations, and tests and monitors systems/process enhancements.
Serves as a team lead, manages the most complex cases, leads policy and procedure development regarding housing, and leads projects with cross-functional teams or serves as a representative on enterprise initiatives.
Requirements:
MS (at a minimum) in Social Work and minimum of 5 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.
Current unrestricted LMSW or LCSW (or equivalent) license in applicable state(s) required.
Bilingual (Spanish) or multi-language skills preferred.
Experience working with vulnerable populations (e.g., homeless, elderly, people with disabilities, etc.) to secure accessible, affordable housing preferred.
Knowledge of relevant public and private housing resources and stakeholders, including but not limited to HUD (Housing and Urban Development) subsidized housing, all Department of Community Affairs (DCA), NJ Housing and Mortgage Finance Agency (NJ HMFA) housing program, voucher programs, public housing authorities, realtors, and online housing locator resources preferred.
Managed care experience preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
