Social Worker II, Health Svcs CI (Managed Care Coordinator

GRADE

ASTD
18

MDH RICA Baltimore
605 South Chapel Gate Lane
Baltimore, Maryland 21229

The main purpose of the Managed Care Coordinator is to provide documentation for the Administrative Service Organization (ASO) and act as a direct liaison with the ASO. The Managed Care Coordinator will also provide documentation for private insurance companies and act as a liaison with those companies, the clinical staff, and the financial agent. This position requires someone who demonstrates specific expertise in understanding the symptoms and treatments for clients with diagnoses, which are typically seen in emotionally disabled adolescents.

This position requires someone who can work effectively with a treatment team made up of nursing/residential, educational and rehabilitation staff as well as social workers, psychologists and psychiatrists to provide treatment that is family driven & youth guided. The incumbent of this position must also be able to generate the extensive documentation such as treatment plans, progress notes and reports required in a contemporary mental health context.

Education:

Determined by the Maryland State Board of Social Work Examiners under the licensing requirements for Social Workers.

Experience:

Two years of experience rendering clinical social work services in a health care or treatment setting subsequent to the receipt of an approved Master’s degree in Social Work from an accredited college or university.

Note:

Candidates may substitute U.S. Armed Forces military service experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Social Work classifications or Social Work specialty codes in the Social Science, Psychology, and Welfare field of work on a year-for-year basis for the required experience.

School Social Workers must possess three semester hours of special education coursework and possess a certificate from the Maryland Board of Education in School Social Work as per COMAR 13A.12.04.11.

The desired candidate should possess the following:
Experience working with children and adolescents in a psychiatric or behavioral health setting. Experience coordinating with insurance companies, managed care organizations, or Administrative Service Organizations (ASOs) regarding behavioral health services and documentation requirements.

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work.

Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).

Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application. Candidates may remain on the certified eligible list for…