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Social Worker (MSW)

About us:

Centers Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid.  Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CPHL is committed to providing quality, coordinated health care to some of the most honored and yet still vulnerable members of our community.



Assesses, formulates plans and provides assistance to members and their families in conjunction with the interdisciplinary team. Provides social services support to the member and/or caregiver as identified.  Provides support to members who are transitioning from an acute care facilities back to the community.  Provides support to CPHL Care Managers and other departments in day-to-day care management activities as needed.




Is knowledgeable of the National Association (NASW) of Social Worker's Code of Ethics and Standards of Practice and strives to maintain that level of professional self-awareness.
Is knowledgeable of the privacy practice as set forth by the Health Insurance Portability and Accountability Act (HIPPA) and applies those practices to verbal, written and technological sharing of all member information.
Performs an assessment of member specific social, emotional and community service needs.

Works with interdisciplinary care team in creating a plan of care for a member to help improve health outcomes.
Identifies caregiver support needs in order to promote the psychosocial wellbeing and safety of the member in their own environment.

  • Evaluates the appropriateness of an ongoing intervention and assesses for the need to continue and/or change the intervention in order to promote safe and positive psychosocial outcome of that intervention.
  • Assessments and evaluations to be performed face-to-face in member’s home, in the office, in the Long Term facilities or by telephone based on the member and/or caregiver need.
  • Facilitates the referral to the available community resources to support the member’s identified needs.
  • Promotes member self-reliance and protection through the provision of community-based services.
  • Promotes the collaborative care relationship between the member, the caregiver and the community resource.
  • Assists with the coordination of the member's health care and social service needs to optimize measurable psychosocial outcomes.
  • Establishes and maintains a cooperative flow of communication with the appropriate acute care and sub-acute care institutions, physician office practices, and community organizations.
  • Engages in those activities required to develop and maintain a current database and materials related to community accessible care management resources.
  • Ensures that all job responsibilities are carried out in compliance with CPHL policies, New York State and Federal regulations.
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