MLTC Social Worker Case Worker

Position: Remote Licensed Social Worker (MLTC/Medicaid)

Eligible states: NY (preferred), NJ, PA, MA, or CT

Position Overview:

As a Remote Licensed Social Worker, you will be responsible for providing comprehensive social work services to our clients enrolled in Managed Long-Term Care plans and Medicaid programs. You will assess the psychosocial needs of individuals, develop care plans, coordinate services, and advocate for clients to ensure they receive the necessary support and resources.

Responsibilities:

• Conduct comprehensive psychosocial assessments of clients to determine their needs and eligibility for MLTC and Medicaid services.
• Develop individualized care plans in collaboration with clients, caregivers, and interdisciplinary teams to address social, emotional, and environmental factors impacting clients' health and well-being.
• Provide counseling, support, and interventions to clients and their families to address various social and emotional issues.
• Coordinate with healthcare providers, community resources, and governmental agencies to ensure seamless delivery of services and benefits for clients.
• Advocate for clients' rights and access to appropriate services within the MLTC and Medicaid systems.
• Maintain accurate and up-to-date documentation of assessments, care plans, and client interactions in accordance with regulatory standards.
• Participate in team meetings, case conferences, and continuing education to enhance knowledge of MLTC and Medicaid policies and best practices.

Requirements:

• A valid and active state license as a Social Worker (LMSW, LCSW, or equivalent), New York preferred
• 2-3 years of demonstrated experience in Managed Long-Term Care (MLTC) and Medicaid programs
• Strong understanding of MLTC and Medicaid regulations, policies, and reimbursement processes.
• Excellent communication, interpersonal, and advocacy skills.
• Ability to work independently, manage caseloads efficiently, and meet deadlines.
• Proficiency in using technology for remote communication and documentation.
• Willingness to travel to New York on a biannual basis as required by the job.

Preferred Qualifications:

• Experience working with diverse populations, including older adults and individuals with disabilities.
• Knowledge of telehealth platforms and remote service delivery models.
• Bilingual proficiency in languages commonly spoken by the client population (if applicable).
• Location: Remote (Preferemce for NY candidates. Other States include CT, NJ, MA, or PA)

Position is contract-to-hire through Medix #MedixHC