Essential Functions: Participates in and supports developed care plans for members with high level acuity needs utilizing social service expertise to evaluate the members need for alternative services and third party needs.u00a0 Outreaches to members telephonically and/or in-person and coordinates member's case management services. Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address/support medical needs. Reviews benefits options, researches community resources, coordinates services, trains/creates behavioral routines and enables members to be active participants in their own healthcare. Provides telephone follow-up to ensure members have seen their PCP and are completing their treatment plan or preventive care services a defined by the PCP or guidelines. Coordinates community resources with emphasis on the development of natural support system. Coordinates benefits, regulations, laws and public entitlement programs.u00a0 Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.u00a0 Assists in obtaining benefits for members through community resources when benefits are exhausted or not available. May manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Acts as team SME in order to achieve optimal clinical and resource outcomes. Performs other duties as assigned. Qualifications Education: Required au00a0Master's Degree in Social Work (MSW) Experience: Required 2-4 years relevant social work and/or health care experience with client care coordination responsibilities (preferably in long-term care). Preferred experience in a managed care environment. Licenses/Certifications: Licensure in one of the following is required: LSW, LCSW, LMHC, LPC, LMFT, PsyD Special Skills (e.g. 2nd language): Ability to work independently, handle multiple assignments and prioritize workloadu00a0 Communicates effectively in person and by phone Advanced ability to communicate on any level required to meet the demands of the position Ability to create, review and interpret treatment plans Technical Skills/Requirements: Proficient in Microsoft Office including Outlook, Word and Excel.u00a0 Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties.