Position Overview: LICSW Case Manager (DC Medicaid – Pediatric Population)
Location:
Washington, DC 20032
Schedule:
Monday – Friday, 8:00 AM – 5:00 PM
Flexible scheduling for field visits (typically 3 field days/week)
Salary:
$90,000 – $98,000 annually 

Typical Day-to-Day Responsibilities

As a Care Manager, you will support enrollees in the DC Medicaid system—many of whom experience behavioral health challenges and significant social determinants of health (SDOH) barriers.

Core Responsibilities Include:

• Conduct comprehensive needs assessments for assigned enrollees

• Assign acuity levels (1–3) to determine care intensity and case management frequency:

• Level 1: Well-managed, minimal use of Medicaid resources

• Level 2: Moderate needs requiring regular engagement

• Level 3: High-utilization, complex care requiring frequent contact

• Develop and maintain individualized care plans in partnership with enrollees and their families

• Coordinate care across healthcare providers and attend key medical visits (e.g., well-child visits)

• Manage a caseload of:

• Up to 75 patients across all acuity levels (for standard care managers)

• ~60 patients at Level 3 acuity (for specialized care managers)

• Complete an average of 3 care plans or assessments per week

• Conduct approximately 3 field visits per week, with 2 days reserved for documentation

• Build and maintain collaborative relationships with enrollees’ primary care providers

  Training & Onboarding

  Initial Training Period (3 weeks):

• Comprehensive onboarding to care management systems, policies, and Medicaid contractual obligations

• Hybrid training format with increased in-office time for mentorship and team support

• Weekly in-person team meetings

• Gradual increase in caseload (starting with 30 patients)

• Assigned peer preceptor for direct support during onboarding

Qualifications

Required:

• Active LICSW (Licensed Independent Clinical Social Worker)

• Minimum of 2 years’ experience in case management, clinical social work, or a related field

• Experience working with pediatric, behavioral health, or Medicaid populations

Preferred:

• Experience in managed care environments

• Familiarity with Medicaid programs and requirements

Key Competencies

• Strong written and verbal communication skills

• Compassionate and culturally sensitive approach

• Ability to engage underserved families and build trust

• Self-motivated and highly organized

• Passion for serving vulnerable pediatric populations

Highlights

• Flexible scheduling for field visits

• Opportunity to make a direct impact on the health outcomes of children and families

• Collaborative, mission-driven care environment

• Strong onboarding and ongoing support structure

• Comprehensive benefits available

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.