Case Worker (CAP VIP) - University of Maryland Medical System

Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents.

POSITION SUMMARY

Under the regular supervision of a licensed clinical staff member, the Caseworker will conduct a needs assessment specific to the Capital Region-Violence Intervention Program (CAP-VIP) participants in order to identify the best forms of interventions to successfully access expanded health coverage options.

1.   Coordinates care services and helps program participants identify, access and utilize resources.

2.   Provides information in a manner that is culturally and linguistically appropriate to the needs of the population being served, including individuals with limited English proficiency and disabilities.

3.   In collaboration with other program staff, develops, implements, and evaluates individualized treatment plans.

4.   Determines eligibility for social services and other local/state assisted programs.

5.   Advocates  for  the  program  participants  to  get  the  assistance  needed  from  relevant  professionals, agencies and institutions (i.e., legal services, health insurance organizations, social service agencies, community-based housing assistance agencies, counseling, etc.).

6.   Assists participants with navigating public and private health and social systems.

7.   Meets with program participants on a regular basis to assess how they are managing their circumstances.

8.   Makes  referrals  to  any applicable office of  health  insurance  officer,  consumer assistance program (CAP), or other state and local agencies that can help enrollees with other post-enrollment essentials.

9.   Assists program participants make connections to available community resources, employers, family members and peers in order to provide them with a support network.

10. Makes home visits, conducts routine psychosocial evaluations makes referrals and reports abuse.

11. Does related work as assigned.

Customer Service:

1.   Greets customers in courteous, friendly, respectful and professional manner at all times, including maintaining eye contact when appropriate.

2.   Follows communication protocols to both internal and external customers, including introducing him/herself with job title and experience, asking open ended questions, such as “How may I be of help to you?” using the customer’s name as soon as it is learned.

3.   Responds promptly and appropriately to customer questions/concerns/complaints and attempts immediate resolution.

4.   Keeps customer’s information confidential, including public places such as elevators or the cafeteria.

5.   Provides assistance and offers help immediately, including finding someone else to meet the request, if unable to do so him/herself. Introduce other staff to customers when a hand-off occurs and explain that the person will provide excellent service.

6.   Demonstrates commitment to excellent service recovery when a customer’s expectations have not been met.

Commitment to Co-Workers:

1.   Offers assistance to colleagues and other departments when needed.

2.   Takes responsibility for solving problems regardless of origin; completes assignments, and respects deadlines.

3.   Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved. Refrains from criticism in public.

4.   Mindful and respectful of others’ time and schedules. Attends meetings on time and communicates any absences.

5.   Provides co-workers with a status report for continuity of workflow when planning to be out of the office, off the unit, or away from the department

Communication Etiquette:

1.   Respectful, courteous and professional in all forms of communication and follows facility’s service communication protocol in all interactions.

2.   Refrains from use of personal cell phone in patient care areas and keeps usage to a minimum at all other times while on duty.

3.   Does not text or use e-mail during meetings (except for exigent or emergency situations).

4.   Limits use of business cell phone during meetings (remain on vibrate and/or calls go to voicemail).

5.   Makes every effort to answer telephone calls within three rings, introducing him/herself, department and title (if appropriate).  Asks permission before placing the caller on hold or using the speakerphone.  If caller is transferred, gives the caller the extension number of the person he or she is being transferred to.  Offers further assistance to the caller upon completing the conversation.

6.   Maintains an appropriate voicemail message and when away from the office has an out-of-office email message that is brief, current, and includes name and department and offers the caller options if possible.

7.   Returns email and voicemail messages promptly but no later than within one business day (24 hours).

8.   Always mindful of voice and language in public.

Self Management:

1.   Reports to work appropriately groomed and in compliance with the Hospital’s dress code.  Wears identification badge at all times at chest level and facing outwards so identification is clearly visible.

2.   Complete all assignments within deadlines or negotiates alternative actions and time frames in order to achieve desired outcomes.

3.   Completes mandatory, annual education and competency requirements.

4.   Follows UMCAP safety, infection control and employee health standards.

5.   Demonstrates responsibility for personal growth, development and professional knowledge and competency.

6.   Adhere to all UMCAP and department policies and procedures, including Code of Conduct and professional behavior standards.  Does not exceed Hospital guidelines in reference to attendance, punctuality, and use of sick and unplanned absences.  Provides notification of absences, lateness and vacation requests according to department guidelines.  Respects length of time for lunch and break times.

7.   Reviews, signs, and adheres to UMCAP and/or departmental confidentiality statement.

POSITION REQUIREMENTS:

Licensure/Certification/Registration

Required:  

• Mental Health Certification
• Valid driver’s license

Preferred: State of Maryland license in Casework/Social Work.

Education/Knowledge

Attained Level: Professional: Bachelor’s Degree

Preferred: Master’s Degree in Social Work

Completed Course Work/Program:  Social Sciences

Applicable Experience

Experience (years):          Required 1-2 years                         Preferred:  More than 3 years

Experience (describe required & preferred): One year of experience in the support of social casework services including experience conducting outreach and application assistance to low-income consumers in establishing financial eligibility for public program and experience working with minority, vulnerable, and low-income populations.

Technical/Clinical Skills

Good knowledge of health insurance, including benefits, cost-sharing requirements, and managed care.

Good knowledge of insurance eligibility, affordability, enrollment, and renewal specifications and processes. Working knowledge of current public coverage programs, including Medicaid, Medicare, and ACA.

Working knowledge of local resources such as community health centers, health and human services, and immigrant-related resources.

Ability to translate complex policy and insurance jargon into simple language.

Ability to comply with privacy and security standards set by the program that meet state and local requirements.

Microsoft Office Suite Skill Level

• Word:  Intermediate                                       
• Excel:  Intermediate
• PowerPoint:  Intermediate        

Basic knowledge and working experience with Medical Terminology

Standard Office Equipment (list):   Computers, telephone, copier, fax machine

Communication Skills & Abilities

Select highest applicable level:  Effective oral/written communication skills

Bilingual:       Preferred

Problem Solving/Analytical Skills & Abilities:

Technical

All your information will be kept confidential according to EEO guidelines.