Medical/Social Service Consultant II

The Birth to Three Early Intervention Regional Program provides services to families & children from birth to three years of age with developmental needs. The Medical Social Service Consultant II provides case management to Delaware families with medically fragile or developmentally delayed children in Kent and Sussex counties. Case management includes assessments of the child and family functioning, identifying service needs, providing home and/or community services to families, multiple domain assessments, case planning, and regular follow-up. This position may supervise. This position may move to Delaware’s Department of Education within the next 4 years.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series. These functions are not an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of a similar kind not specifically listed here.

• Manages cases over the continuum of a healthcare delivery system for clients with complex, chronic, and specialized physiological medical conditions.  Facilitates access to medical and social service resources across public, private, and community sectors. 
• Collaborates with health care providers, services, programs, and insurance entities to develop tailored service plans and interventions.  Integrates care and communication between stakeholders to ensure optimal health and social outcomes. 
• Navigates and consults on the intersection of services, authorizations, and payments between the clients, providers, insurance programs and/or Managed Care Organizations.  Works with providers and insurance entities to obtain pre-authorizations and referrals. 
• Schedules and attends multidisciplinary evaluations and assessments.  Facilitates and participates in discharge and transition planning.
• Formally responds to casework inquiries and investigates complaints, assessing services or eligibility against legal entitlements or contracts.  
• Provides subject matter expertise through outreach and education to program staff, community members, providers, and other stakeholders through special community events or health education and preventative services.  Advocates for community health and wellness. 
• Maintains and tracks service, eligibility, and referral data sets, manages data for reporting and program planning. Coordinates and allocates funding sources for special program eligibility.        
• May support emergency preparedness and response efforts during pandemics or natural disasters, and/or intervene in facilitating care for clients in health crisis.  May provide home visits, and/or virtual appointments.
• Performs other related duties as required.

Job Requirements

JOB REQUIREMENTS Medical/Social Work Consultant II
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

1. Possession of a Bachelors degree or higher in Health, Behavioral or Social Science or related field.
2. Two years' experience in case management such as assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
3. Two years' experience in making recommendations as part of a client's service plan such as clinical treatment, counseling, or determining eligibility for health or human services/benefits.
4. Two years' experience in client healthcare resource coordination and support.
5. Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.
6. Six months experience in narrative report writing.