Social Worker (SDoH) *Eastern Shore

*Candidate should reside in one of the counties in the Eastern Shore/ Southern MD

Summary/Position Objectives

This position will be part of the Maryland Physicians Care (MPC) Social Determinants of Health team. This team works directly with MPC members to address social barriers to optimal health. This Social Worker will provide care management through a cooperative process of assessment, planning, facilitation and advocacy for options and services to meet member’s health needs through communication and available resources, while promoting quality cost-effective outcomes. Maintains members in the most independent living situation possible; ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives

What You’ll Do

• Involved members of the SDoH team to develop, implement, and assist MPC SDoH programs.
• Utilize clinical judgment to assess members, prioritizing emerging issues to maintain a member-centric approach.
• Collaborate with the interdisciplinary care team to help members reach their health goals via case rounds and consultation.
• Complete assessments to better comprehend the Social Determinants of Health (SDoH) impacting member care goals.
• Utilize problem-solving skills to research and identify community resources and coordinate referral mechanisms.
• Plan specific goals, and actions designed to meet member’s needs as identified in the assessment process that are action-oriented, time-specific, and cost-effective.
• Implement specific activities and/or interventions that lead to accomplishing the goals outlined in the plan of care.
• Develop strong relationships with members by providing support and advocacy to help achieve health goals.
• Monitor care management activities, services, and members’ responses to interventions, to establish the effectiveness of the plan of care and the utilization of services.
• Evaluate the effectiveness of the plan of care in reaching desired outcomes and goals; make modifications or changes in the plan of care as needed.
• Participates in outreach activities to promote knowledge of the program and its services and to coordinate program activities with outside community agencies and health care providers.

Secondary Functions

• Observe the confidentiality of member records following MPC policies and procedures.
• The hybrid position requires 2-3 days/week at community partner sites in Eastern Shore.