Care Manager, Child & Adolescent Services - Social Worker

About the role

Alpine Physicians is hiring a Care Manager (Social Worker) for its Child & Adolescent Services in Denver. The Care Manager delivers clinically and psychosocially informed, person-centered care management to Medicaid members with complex physical, behavioral health and social needs. The role includes comprehensive assessments, Transitions of Care management, care plans and care coordination, and requires comfort with outbound outreach such as cold calling hard-to-reach members.

Key responsibilities

• Perform clinical and/or psychosocial assessments for high-risk, medically complex and high-barrier members
• Develop, implement and update individualized care plans covering medical, behavioral health, psychosocial and environmental needs
• Manage transitions of care after hospitalization, ED visits, facility stays or behavioral health transitions, and complete follow-up within set timelines
• Coordinate care with PCPs, specialists, behavioral health providers, facilities, caregivers and community agencies, and connect members to community and social services
• Address barriers such as housing, transportation, food insecurity, caregiver support, financial strain, behavioral health and substance use concerns
• Educate patients and caregivers on disease management, self-management, care navigation and resource access
• Use motivational interviewing, engagement strategies and de-escalation techniques, and escalate urgent clinical, psychosocial, crisis or safety concerns
• Maintain timely, accurate, compliant documentation and confidentiality under HIPAA
• Represent the organization at community events and give presentations, with evening and weekend availability

Required profile

• Active Master of Social Work (MSW) with active licensure in good standing in the state where the population is served
• 1+ year of experience in care management, care coordination, case management, behavioral health, social work, utilization management or transitional care
• Experience with high-risk, medically complex or psychosocially complex populations and with transitions of care
• Preferred: Medicare Advantage, Medicaid, DSNP and CSNP experience, value-based care or population health experience, case management certification, bilingualism, and home-office work

Required skills

• Proficiency with EMR and care-management documentation systems
• Strong clinical and psychosocial assessment, care planning and coordination skills
• Knowledge of behavioral health, community resources and social determinants of health
• Strong communication, collaboration and documentation discipline

What we offer

• Salary range of $63,502.40-$81,000, with an annual bonus eligible for individual and/or company performance
• Medical, dental and vision insurance, 401(k), paid time off and an Employee Assistance Program

Applications are open until filled and reviewed on a rolling basis through the employer's careers page.