Social Worker Case Manager - Hybrid; Johnstown, Pennsylvania)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Social Worker Case Manager - Hybrid (near Johnstown, Pennsylvania) to join our growing team.

Job Summary:

The Social Worker Case Manager will contribute to enhancing the company's success through personalized care planning, ensuring optimal outcomes and compliance with payer standards. Their collaboration with healthcare team members strengthens the overall effectiveness of care delivery, while their expertise in coordinating diverse beneficiary needs reflects the company's commitment to overall well‑being.

This is a hybrid position based near Johnstown, Pennsylvania, with responsibility for supporting members across Cambria, Indiana, Westmoreland, Armstrong, Somerset, and Clearfield counties.

• Provide care coordination/care management for beneficiaries, ensuring a high level of clinical knowledge and performance by the clinical team.
• Foster a caring philosophy in leadership and all aspects of the care management process.
• Manage the care of beneficiaries through the healthcare system based on their individual needs.
• Use independent judgment and discretion to address and proactively resolve barriers impeding diagnostic or treatment progress.
• Interact and collaborate with a multidisciplinary care team, including physicians, nurses, case managers, pharmacists, and social workers/educators to ensure beneficiary needs and preferences for health services/information are shared.
• Educate beneficiaries about community resources/options and advocate on behalf of the beneficiary.
• Establish a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality outcomes.
  * Maintain open communication with all appropriate parties.
• Maintain strict standards for client confidentiality and client‑related information. Comply with all organizational, state, and federal regulations and policies on confidentiality.
• Prepare documentation, status updates, event notifications, and other documentation regarding beneficiaries in accordance with regulatory requirements and company policies and procedures.
• Monitor case load to ensure all required documentation and entry of assessment results into a web‑based database are completed accurately and promptly.
• Pursue ongoing education, certification, and self‑development to remain current with case management standards.
• Other duties as assigned.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Accountabilities is not intended to be all‑inclusive and may be expanded to include other education‑and‑experience‑related duties that management may deem necessary from time to time.

• Bachelor's degree in Social Work.
• Active, unrestricted Social Work license.
• A minimum of 3 years of Social Work experience with an older adult population…