Responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness. With nearly 30 years of experience in providing advanced primary care, Carelon APC delivers exceptional patient experiences. Compassionate clinicians take the time to understand each patient’s unique health needs while also removing barriers to access. Patients trust us to receive the right personalized care where and when they need it – in our care centers, at home or virtually – to improve their health outcomes and quality of life. Primary duties may include, but are not limited to: Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition. Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities. Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified via a Social Work Psychosocial evaluation. Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs. Evaluates members' strengths related to health 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. Requirements: Requires MS (at a minimum) in Social Work or 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background. Bilingual (Spanish) or multi-language skills preferred. You must reside in the state of CA as this is a hybrid position.
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