Behavioral Health Social Worker in Southfield, MI at Accident Fund Holdings, Inc

Date Posted: 9/14/2020

Job Snapshot

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Job Description


Support the overall improvement of member's health status in collaboration with the case managers and physicians by identifying and referring member's to community resources, counseling and/or support services. Educate patients about entitlement programs, legal issues or other services relevant to social work practice skills and knowledge.


  • Develop, coordinate and evaluate a social worker assessment for identified members.
  • Consult and coordinate with the case manager and physician to identify member issues and develop a plan to resolve the issues
  • Assess the member's progress to social work intervention and community services provided through on site visits and POD review sessions upon invitation
  • Assist the Case Manager with psychosocial needs assessment and identification of appropriate resources.
  • Identify and refer members to community resources, counseling, and/or support for the member and/or authorized representative, as needed
  • Document all activities as appropriate, including but not limited to member assessment, communication with case managers, PCP or issues related to guardianship, abuse/neglect.
  • Educate the member and/or authorized representative about entitlement programs (i.e., Medicaid, Social Security), legal issues (i.e. guardianship, advanced directives) and assisting in the application process as needed
  • Assist the member and/or authorized representative with long-term care planning and of end of life decisions and options as needed
  • Provide member support as needed throughout hospice period.
  • Provide member receiving hospice services with information regarding appropriate community resources.
  • Travel may be required.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

Job Requirements



Master's Degree in Social Work required. Current unrestricted Licensed Master's Social Worker or Limited License in Psychology in the State of Virginia is required. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.


Minimum of five (5) years of board medical social work experience required. Minimum of two (2) year to be in home health care and/or medical case management preferred


  • Knowledge of clinical programs and P&P, HIPAA regulations and guidelines, American Disability Act, URAC standards (CM SW only) and clinical ethics
  • Motivational interviewing skills as well as experience in performing assessments and interventions
  • Knowledge of Medical Policy, CM and DM principles and alternate levels of care
  • Knowledge of BCBSM/BCN benefits
  • Basic computer applications/Microsoft word/typing required
  • CM, CCM Admin Modules and Care Advance systems
  • VDA, Virtual Desk Top (work from home)
  • Ability to engage and motivate the member or member representative, mentor and train
  • Identify existing and or potential psychosocial and quality of care issues
  • Interact and collaborate with multidisciplinary team while advocating on member's behalf
  • Providing effective written and verbal communication/feedback
  • Organizational skills and ability to prioritize and have a flexible work schedule


Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.


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