Positions are responsible for providing clinical and medical management services, including case management, health services, interventions, and discharge planning. May identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD. The populations served are those with the Florida Medicaid or Medicare. Some members are enrolled in both of them. There is no age range of clients, they must have Medicaid or Medicare. The role of the social worker is to conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs. Identify member service needs related to health concerns. Develop Plan/Recommendations for Member Care and Service. Work with members to develop healthcare goals and identify potential barriers to achieving health care goals. Identify member support systems available and incorporate into plan of care. Review plan benefits and identify appropriate programs and services based on health needs and benefits. Integrate health care and services needs into a plan or recommendation for member care and service. Collaborate with the member to create solutions to overcome barriers to achieving health care goals. Identify relevant community resources available based on member needs. Refer members to appropriate programs and services. Facilitate member choice of preferred provider. Enroll members into appropriate programs and services. Utilize motivational interviewing techniques to help member identify and understand their intrinsic goals and motivate members to engage in positive behavior change. Present complex case information to interdisciplinary care team and obtain input into member plans as necessary. Assist with coordinate Plans and recommendations to improve member’s health. Follow up with members to monitor and document completion of plan activities following standard protocols.

Generalists: MSW (2nd year and Advanced Standing Students), Clinical                                                

This is a field-based agency so transportation is required. Travel will be reimbursed by the agency. There is no stipend available and no liability insurance is required. The agency hours are Monday thru Friday 8:00 am to 5:00 pm. The agency is not accessible by bus.