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Highmark Health

Health insurance plans and wellness resources

Social Work Case Manager

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeNatrona Heights, PA, USAIn-person

About the Job

Requirements

  • Experience in a hospital or health care setting.
  • A Master's degree in Social Work is required; incumbents hired on or before April 21, 2025, have six months from hire to obtain it.
  • A Pennsylvania Licensed Social Worker (LSW) and/or Licensed Clinical Social Worker (LCSW) credential is required; incumbents hired on or before April 21, 2025, have 12 months from hire to obtain it.
  • An Act 34 Criminal Background Clearance Certificate is required.
  • An Act 33 Child Abuse Clearance Certificate is required.
  • An Act 73 FBI Fingerprinting Criminal Background Clearance Certificate is required.
  • Employees must comply with HIPAA and the company's privacy and information security policies.

Responsibilities

  • Contribute to or complete initial and ongoing comprehensive assessments, engage patients and their caregivers or families, implement recommendations, and address social determinants of health to coordinate care across the continuum.
  • Collaborate on safe transition plans for assigned inpatient, observation, and emergency department patients to support timely discharge and connection with post-discharge providers and community resources.
  • Educate patients, families or caregivers, and physicians about appropriate post-discharge levels of care and access to community support.
  • Advocate for patients and families or caregivers by communicating with interdisciplinary team members, payers, and post-acute partners to support safe transitions.
  • Provide counseling and intervention related to treatment decisions and end-of-life issues, facilitate collaborative goals-of-care conversations, and provide crisis intervention involving abuse, sexual assault, mental health disorders, substance use disorders, and surrogate decision-maker or guardianship needs.
  • Support professional growth through certification, mentoring or precepting, and participation in department, hospital, or system committees.
  • Support department goals and perform other duties as assigned.

About the Company

Highmark Health

Health insurance plans and wellness resources

Highmark Health provides health insurance plans in Pennsylvania, Delaware, and West Virginia for individuals, families, businesses, and Medicare beneficiaries. Plans are funded by premiums and government reimbursements, and cover services like doctor visits, hospital stays, prescription drugs, and preventive care, plus member tools such as symptom checkers, cost and coverage details, and OTC rapid test reimbursements. It differentiates itself through active community involvement and sustainability efforts, alongside a large, diverse member base and Medicare compatibility that influence plan design. The goal is to improve community health by offering comprehensive coverage and supportive health resources while operating in a responsible and sustainable way.

Company size
5,001-10,000
Company stage
Grant
Total funding
$29.6M
Headquarters
Pittsburgh, PA
Founded
1996

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