Licensed Clinical Social Worker

Overview

Required Skills and Experience: 1. Valid New York State driver’s license. 2. Licensed Clinical Social Worker degree with active license in the state of New York; Master’s degree in health care or social work preferred. 3. Working knowledge of Medicare and Medicaid programs and experience with regulatory requirements and reporting. 4. Knowledge of managed care and / or member services. 5. Knowledge of community services and resources for elders and disabled. 6. Familiarity with coordinated care models is an advantage. 7. 2+ years’ experience in a member services department, health care organization, Community Based Organization, or social services environment. 8. Demonstrated experience in a managed care or HMO setting is strongly preferred. 9. Three (3) to Five (5) years of progressively responsible in a high-volume call health care or social service related. What You Need to Know: 1. This is a full-time opportunity with competitive compensation package including a 10% annual performance-based bonus incentive. 2. Work will be 40 hours per week with a mixture of shifts between 8AM-7PM with some weekend coverage as well. It’s scheduled shifts though so most hours will be during business hours. 3. Mileage will be reimbursed as this is a field position and candidates will meet in patients’ homes and in the community. 4. The position will be heavier on the social work and lighter on mental health. Skillset in a Qualified Candidate: 1. Understanding of the needs and dynamics of elder care services, disadvantaged, disengaged populations. 2. Experience in participating in cross departmental projects and policy and procedure changes, including coordination of activities and initiatives across departments. 3. Demonstrated ability to work in a fast-paced, high volume call-center environment and manage staff to both meet and exceed goals and key performance measures. 4. Passionate about customer service with a continuous improvement mindset. 5. Excellent problem solving, trend identification, and analytical skills, with a demonstrated ability to problem solve effectively and efficiently. 6. Commitment to high ethical standards in all work; protects the privacy of member and Belong Health data and exercises discretion in handling confidential member information. 7. Excellent oral and written communication skills, including presentation skills. 8. Demonstrated PC skills using Microsoft applications. 9. Must be able to travel to other office locations, as necessary. 10. Must be able to work flexible schedule. 11. In depth knowledge of managed care product portfolio, benefits, policies and procedures. 12. Strong active listening, issue assessment and problem-solving skills. 13. Strong organizational and follow through skills. 14. Ability to exercise discretion in handling confidential member information. 15. Passion for customer service and process improvement. 16. Self-direct individual. Additional Job Details: 1. Communication - Provides clear, concise information to others in a variety of formats (verbal, written, electronic, etc.). Listens actively and empathetically to the views of others. Asks the appropriate questions to ensure that all relevant facts are considered before a decision is made or an action is initiated. Helps others consider new perspectives. Delivers critical information to all stakeholders/everyone involved. Seeks to clarify ambiguity. Utilizes communication technology. 2. Maintains Confidentiality - Preserve’s confidences. Evokes trust and candor during and after confidential discussions. Gets permission upfront to divulge private information. Shares information in discussions and negotiations to minimum necessary to achieve results. Abides by company and departmental regulations and confidentiality policies. 3. Customer Service - Provides prompt and courteous service. Takes the time to uncover the customer’s real needs and provides solutions that directly relate to customers' requests. Provides solutions that directly relate to customers’ requests or anticipated needs. Works constantly to provide superior value to the customer, making each interaction a positive one. Shows enthusiasm when interacting with customers. Patiently and calmly tolerates rude customers; apologizes sincerely for inconveniences. 4. Follows Procedures - Understands and follows prescribed company and department policies and procedures, to assure outcomes meet defined objectives, even when it is inconvenient to do so. Identifies policies and procedures which interfere with productivity and makes recommendations for process improvement. 5. Inspiring Others - Motivates others to achieve high performance and personal satisfaction through a sense of purpose and spirit of cooperation. Impacts and motivates others through connecting, sharing, with a humble approach. Affects the behavior of others positively. Leads by example. 6. Interpersonal Skills - Works effectively in a multicultural environment; respects the opinions, perspectives, customs, and individual differences of others. Interacts appropriately and respectfully with supervisors and coworkers. Uses appropriate strategies and solutions for dealing with conflicts and differences. Utilizes emotional intelligence to identify, understand and manage emotions. Demonstrates sensitivity and empathy. Respects diversity.

Qualifications

• Master's degree or higher
• ANY of the following valid licenses/certifications:
  • Licensed Master Social Worker (LMSW) in New York (NY)
  • Licensed Clinical Social Worker (LCSW) in New York (NY)
• 2+ years of experience in ANY of the following:
  • Community Based Care
  • Medicare/Medicaid
  • Home Health Care
  • high-volume call health care or social service
• Are you seeking full-time?
• Are you fully vaccinated?

• Managed Care (2+ years)
• Why are you looking for a new job at this time?

Benefits

Company

Our client is a Hospital and Health Care company that partners with regional health plans and hospital systems to help deliver a more compassionate, straightforward insurance experience for Medicare-eligible individuals. They help deliver best-in-class Medicare Advantage (MA) and Specials Needs Plan (SNP) products, creating new opportunities for organic growth that enable better service for their existing membership.