LCSW-Special Needs Coordinator MD Medicaid Hyattsville, MD New Carrollton
Primary Location Hyattsville, Maryland
Schedule Full-time
Shift Day
Salary $100900 - $130570 / year
Job Number 1408281
Date Posted 02/16/2026
Job Summary:
To partner with MAPMG and Health Plan Operations in the achievement of service and clinical quality delivery objectives and goals specific to population care. To ensure the development and implementation of evidence-based population care management programs for targeted populations of members in accordance with established standards and guidelines.
Essential Responsibilities:
- Serve as the point of contact for health care services information and referral for members of special needs populations.
- Participate on the KPMAS consumer advisory board as a representative of special needs populations.
- Educates providers and staff on the requirements of P.L. 101-330, American with Disabilities Act of 1990, 42 U.S.C. 12101 et seq., acting as a resource to both providers and enrollees on the Disabilities Act.
- Monitors a log of each denial of treatment and the outcome of the utilization review for all referrals for special needs populations.
- Serve as the point of contact for behavior health services information and referral for members who need mental health and substance use services. Make recommendations for behavior health services and interventions.
- Facilitate monthly behavior health rounds with the states behavior health administrator.
- Participate in the regional workgroup that monitors members at risk of abusing prescription drugs.
- Audit Preparation: Conduct internal audits and chart reviews. Organize materials in preparation for audits and ensure that documentation meets quality standards. Communicate with key stakeholders throughout the audit process.
- Participate in the development of data collection and reporting tools.
- Training and collaborating on workflows.
- Perform other duties as assigned.
Basic Qualifications:
Experience
Basic Qualifications:
- Minimum two (2) years of experience working with special needs populations or the disabled required.
- Minimum two (2) years of experience working with Medicaid populations.
Education
- Masters degree.
License, Certification, Registration
- Licensed Clinical Social Worker (Virginia) within 3 months of hire
- Licensed Clinical Social Worker - Certified (Maryland)
- Independent Clinical Social Worker License (District of Columbia) within 3 months of hire
Additional Requirements:
- Excellent oral and written communication, organization, time management, problem solving, critical thinking, and clinical skills.
- Must be proficient with using Excel, PowerPoint, MSTeams, and Outlook.
Preferred Qualifications:
- Case Management experience preferred.
- Experience in a leadership role with or without direct reports preferred.
- Project management and/or program management experience preferred.
- Familiarity with Code of Maryland Regulations (COMAR) preferred.
Primary Location: Maryland,Hyattsville,New Carrollton Administration
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:30 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-MAS-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: New Carrolltn Admin - UR-Case Mgmt-Specialty - 1808
Pay Range: $100900 - $130570 / year
Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente.
Travel: No
Flexible: Work location is on-site at a KP location, with the flexibility to work from home.
Worker location must align with Kaiser Permanente's Authorized States policy.
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Navigating the Hiring Process
We're here to support you!
Having trouble with your account or have questions on the hiring process?
Please visit the FAQ page on our website for assistance.
Need help with your computer and browser settings?
Please visit the Technical Information page for assistance or reach out to the web manager at kp-hires@kp.org.
Do you need a reasonable accommodation due to a disability?
Reasonable accommodations may be available to facilitate access to, or provide modifications to the following:
- Online Submissions
- Pre-Hire Assessments
- Interview Process
If you have a disability-related need for accommodation, please submit your accommodation request and someone will contact you.
Jobs For You
You have no recently viewed jobs
You currently have no saved jobs
Join Our Talent Community
Join our Talent Network today to receive email notifications about our career opportunities that match your skills.
Connect With Us