Case Manager LCSW-C

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

• Work-life balance - This is a remote role. Applicants living in MD, VA, DC, PA, DE, or FL will be given first consideration.
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Generous Paid Time Off
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

Who you are:

The LCSW-C (Licensed Clinical Social Worker) Case Manager anticipates and coordinates care / services / health education for targeted member populations with chronic disease conditions or high-cost specialty care. They demonstrate knowledge of complex case management processes and are responsible for ensuring that member goals are achieved within a specified time based upon individual needs, reasonable expectations, with well-documented outcomes

What you’ll do:

• Maintains budgeted caseload.

• Identifies and analyzes staff/member/system issues that impact the plan of care

• Identifies and acts upon impending changes in member condition.

• Must be able to maintain accurate documentation that meets regulatory standards, policies and procedures.

What you’ll bring:

• Minimum 3 years of clinical experience.
• Managed Care experience preferred
• Demonstrated clinical experience
• Knowledge of health care and managed care delivey systems
• Insurance benefit structures and related medical/legal issues
• Utilization management and quality improvement processes
• Member satisfaction

• Education- Master’s Degree in Social Work

• Licensure :Current LCSW-C licensure in the state of Maryland
• Certification in case management (CCM) or pursues CCM or similar certification within 2 years of hire date

Salary Range: Minimum 31.92/hour - Maximum 52.69/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.