Social Work Care Manager

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary

The Social Work Care Manager (SWCM) works collaboratively with the patient centered care team. The SWCM arranges, coordinates, monitors, evaluates and advocates for services to meet the psychosocial needs of the member. The SWCM works with the member to increase their capacity for self-management and to promote behavioral changes that facilitates short and long term linkages with necessary community, social service, medical or behavioral health resources. The population includes members with complex behavioral health diagnosis many of whom, may have had a recent incarceration.

Our Investment in You :

• Full-time remote work

Competitive salaries

Key Functions / Responsibilities

Perform in-person meetings with the Department of Corrections for incarcerated individuals who will be released into the community and require care management and care coordination.

Identify educational and employment opportunities.

Supervision Received

Regularly scheduled meetings with   Manager of Care Management

Qualifications

Education Required :

Master’s Degree in Social Work, Psychology, Education, Public Health or a related field required.

Experience Required :

2 years of experience working with individuals with complex medical / behavioral and / or psychosocial needs

2 years of experience working with incarcerated individuals and / or with the Department of Corrections

Experience Preferred / Desirable :

Active state licensure as a Social Worker or related field strongly preferred.

License Alcohol and drug counselor

Required Licensure, Certification or Conditions of Employment :

Pre-employment background check

Competencies, Skills, and Attributes :

Strong oral and written communication skills

Ability to establish and maintain effective working relationships with members, social service agencies, community resources and other members of the interdisciplinary team.

Ability to work with members to promote positive behavioral change

Strong Motivational Interviewing skills

Bilingual desired

Strong organizational and time management skills

Ability to work in a fast paced environment

Proficient Microsoft Office skills particularly MS Outlook and MS Word and other data entry processing applications

Knowledge of medical terminology

Working Conditions and Physical Effort

Regular and reliable attendance is an essential function of the position.

Work is generally remote from home office with in person visits in the community when indicated. No or very limited physical effort required.

No or very limited exposure to physical risk.

Compensation Range

$64,000- $93,000

This range offers an estimate based on the minimum job qualifications.  However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.  This includes education, experience, skills, and certifications / licensure as they directly relate to position requirements; as well as business / organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Note : This range is based on Boston-area data, and is subject to modification based on geographic location.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Required Skills

Required Experience