Provides a range of social work services as a county child welfare liaison in collaboration with Partnership staff to meet the psycho-social and care coordination needs of members involved in the child welfare system. Responsible for the assessment and care coordination of the psychosocial needs of these members, families and/or caregivers to help promote positive coping skills, reduce the risk of premature institutionalization, assist individuals in maintaining independence
in the community and increase stabilization of social determinants.

• Supports the Sr. Manager of Foster Care Programs with the administration and
  deliverables of the County Child Welfare MOU.
• Attends County child welfare meetings, SOC 2083 ILT Meetings, State Technical
  Assistant Calls, MDT, and other internal and external meetings as appropriate.
• Provides formal presentations to both external and internal stakeholders on matters
  relevant to this population and regulatory requirements pertaining to it.
• Serves as a primary point of escalation for care when working with County and
  community partners.
• Ensures covered services are closely coordinated with other services, including social
  services and specialty mental health care services.
• Travels and works with local child welfare agencies and ECM providers in Partnership
  counties to engage and create social and professional relationships.
• Responsible for educating and coordinating providers and teams on appropriate referrals.
• Supports the development of an ECM network specific to meet the needs of this child
  welfare-involved population
• Serves as the primary lead point of contact on behalf of the Plan with external child
  welfare serving stakeholders (county welfare departments, foster family agencies, CASA,
  foster families, etc.)
• Travels to meet child welfare-involved members, families, and/or caregivers in the
  community to address case management and care coordination needs.
• Develops an individualized care plan addressing the psycho-social elements and nonmedical barriers to health in an effort to promote and ensure optimal care coordination of
  the member’s needs.
• Conducts interview assessments with individuals, families and/or caregivers to identify a
  member’s needs, goals and/or barriers.
• Sets priorities according to treatment goals and member’s preferences in a timely manner.
• Supports successful transitions and coordination of services across the care continuum
  (ex: pediatric to adult settings, acute/post-acute to community, adaptation to disability or
  trauma, etc.) via effective and frequent communication and collaboration with providers,
  the child welfare-involved member, family and/or caregiver.
• Arranges, coordinates and monitors the use of community services/resources available to
  child welfare-involved members, family and/or caregivers. (ex: housing options, financial
  assistance, special education options, vocational training/employment, legal aid services,
  etc.)
• Assists members in selecting appropriate resources and/or contacting resources on behalf
  of the child welfare-involved member. Provides support in obtaining necessary forms,
  filling out documents/applications when appropriate.
• Provides education and support to child welfare-involved members, families, caregivers
  and/or PHC staff regarding conservatorship, Public Guardianship, Power of Attorney
  and/or Authorized Representative options for members with identified needs.
• Uses Motivational Interviewing strategies and clear communication/limit setting to
  promote member’s self-management, reduce risk of system(s) dependency, and improve
  health and well-being.
• Documents interventions and activities according to departmental policies and
  procedures.
• Collaborates with colleagues to provide education and support to members with
  identified psycho-social and/or resource needs.
• Participates as part of a multidisciplinary team in Partnership’s integrated rounds;
  presenting complex member cases when needed and offering suggestions or support to
  others.
• Maintains working knowledge of public/private community resources and fosters
  collaborative working relationships on behalf of Partnership.
• Actively participates in case conferences in the community, including hospitals, skilled
  nursing facilities, community-based organizations, etc.
• Engages in essential skills training as directed or assigned.
• Provides training and/or on-boarding support to new staff as assigned and serves as
  liaison between direct line staff and supervisor
• Proactively identifies strategic partnerships and/or community-based activities to enhance
  psychosocial supports to members and/or families.
• Fosters professional working relationships with providers and/or community-based
  agencies on behalf of Partnership.
• Other duties as assigned.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures as they may from time to time be updated.

HIRING RANGE:

$93,690.86 - $117,113.58

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.