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GENERAL DESCRIPTION OF POSITION

The Social Work Case Manager is responsible for providing on-going case management services for Santa Clara Family Health Plan (SCFHP) members. As a SCFHP member advocate, the Social Work Case Manager II facilitates communication and coordination among all participants of the care team, to ensure member identified goals and needed services are provided to promote quality cost-effective outcomes. Through the development and implementation of member individualized care plans, the Social Work Case Manager II provides psychosocial and behavioral case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitates the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements.

REQUIREMENTS – Required (R) Desired (D)

The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.

Master’s Degree in Social Work, or related field. (R)

Certified Case Manager (CCM). (D)

Active California registered Licensed Clinical Social Worker (LCSW) without restriction. (R)

Minimum three years of experience in social work, behavioral health, or case management, or education or certifications, or equivalent experience. (R)

Knowledge of social case management and conflict resolution. (R)

Knowledge of long-term services and supports, behavioral health and/or relevant public services and community resources. (R)

Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance. (R)

Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D)

Experience working with designated member population (e.g. behavioral health, seniors and persons with disabilities, children). (D)

Ability to work within an interdisciplinary team structure. (R)

Travel to off-site locations for work such as in office, home, facility, clinic, and other community settings. (R)

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.