Job Description

Social Work Care Manager (REMOTE)

Job details

Salary:$70000 – $75000 per year + PTO, Health, Dental, Vision, 401k

Location:United States of America

Job type:Contract

Discipline:Care Management


Work Location:

Job description

Job Posting: Social Work Care Coordinator (MLTC)

Location: REMOTE (must have NY state license)

Are you an experienced and compassionate Social Work Care Coordinator seeking a rewarding opportunity to make a significant impact in the lives of patients? Join our dynamic healthcare team, providing comprehensive care management services across acute, home, and long-term care settings. As we expand our service areas in Albany/Capital District, NY, we are actively seeking dedicated individuals to join our growing team. If you are passionate about making a difference and have the required skills, we invite you to apply.

Overview of Responsibilities: As a Social Work Care Coordinator, you will provide care management through a collaborative process of assessment, planning, facilitation, and advocacy. Your role involves assessing, planning, and implementing intensive and continuous care management across various healthcare settings. Collaboration with primary care practitioners, interdisciplinary teams, and family members is crucial, ensuring consistent care along the entire healthcare continuum.


  1. Assess, plan, and provide intensive and continuous care management across acute, home, and long-term care settings.
  2. Develop and negotiate care plans with members, families, and physicians.
  3. Assess living conditions, cultural influences, and functioning to identify individual needs and develop comprehensive care plans.
  4. Determine enrollee eligibility for program services based on health, medical, financial, legal, and psychosocial status.
  5. Plan specific objectives, goals, and actions to meet member needs in an action-oriented, time-specific, and cost-effective manner.
  6. Implement care management activities and interventions to accomplish goals set forth in the plan of care.
  7. Coordinate, facilitate, and arrange long-term care services in home and community-based sites.
  8. Collaborate and negotiate with interdisciplinary teams, healthcare providers, family members, and third-party payors across all health settings.
  9. Monitor care management activities, services, and members’ responses to interventions to determine plan effectiveness.
  10. Evaluate the plan of care’s effectiveness in reaching desired outcomes and goals, making modifications or changes as needed.
  11. Identify trends and needs in the community, planning interventions based on identified needs.
  12. Provide care management services across sites and collaborate with facility discharge planners when members transition between settings.
  13. Manage expenditures to ensure effective use of covered services within a capitated rate.
  14. Visit members in their homes and/or other facilities, delivering direct care using approved transportation options.
  15. Provide social work services in accordance with NASW code of ethics, Agency policies, practices, and procedures.
  16. Participate in outreach activities to promote knowledge of the program and coordinate program activities with outside community agencies and healthcare providers.
  17. Participate in the development of programs to meet the specialized needs of the selected patient population.
  18. Document services in accordance with VNSNY CHOICE Community Care standards and Managed Long Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations.
  19. Participate in special projects and perform other duties as requested.

Licensure: License and current registration to practice as a Licensed Social Worker in New York State preferred.

Education: Master’s degree in Social Work required after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept. Certification or licensure by the Education Dept to practice Social Work Education in New York State is required.


  • Minimum of three years MSW experience required.
  • Minimum of two years in case management and/or community-based environment preferred.
  • Bilingual skills may be required, as determined by operational needs.
  • Clinical expertise in geriatrics, Long Term care, and Managed care experience preferred.