Maryland Care Management Inc
Location
Baltimore, Maryland
The TOC Social Worker supports high-risk members transitioning from hospitals or facilities back to the community by addressing social barriers and coordinating care. Responsibilities include conducting assessments, developing care plans, and collaborating with interdisciplinary teams to ensure safety and stability.
Requires a Master's degree in Social Work and Maryland state LMSW, LCSW, or LCSW-C licensure. Candidates must have at least one year of experience in community-based, hospital, or discharge planning settings.
Description *This position will be doing home and facility visits in Baltimore 4-5 days/week*
The Social Worker on the Transition of Care (TOC) team supports high-risk members at a critical point in their care by addressing complex social barriers and helping guide a successful return to the community following hospitalization. Working collaboratively with facility case managers, nurses, and an interdisciplinary care team, the TOC Social Worker provides short-term, high-impact interventions focused on stabilization, safety, and connection to community resources. You will meet members where they are—often face-to-face—and use clinical judgment, motivational interviewing, and problem-solving skills to support recovery, independence, and continuity of care. 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.
Knowledge and Skills: Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Knowledge of community agencies and resources. Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services. Ability to plan, implement, and evaluate individual member care plans. Knowledge of change management, behavioral change management, transportation/food/safety resources. Education and Work Experience: Master’s degree in social work. Maryland state LMSW/LCSW or LCSW-C licensure. At least 1 yr experience in a community-based, hospital, or discharge planning setting addressing social needs and care transitions. Knowledge of government-managed care programs preferred.
Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.
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