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Clinical - Program Specialist (Social Worker) 1

4 months ago

McAllen, United States Axelon Services Corporation Full time

Location: Remote, but Looking for candidates in the South Texas/Rio Grande Valley area preferred

Travel Required, %: 5% to 10% (just in case of team-building events or meetings)


SHIFT: 8am – 5pm with 1hr lunch break, No OT Required

Duration: Possible Temp to Perm

Job Description: Summary: Conduct screening and risk assessment interventions per program guidelines. Assist with non medical aspects of the member’s care, including referrals to community resources.Job Responsibilities: Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services Educate members with special needs to foster compliance with program and positively impact outcomes Conduct site visits as appropriate for programs and provide support to other special programs Develop and modify care plans in conjunction with member, member’s family and managing physician Development of plan specific literature and education materials in conjunction with medical director and corporate oversightEducation /Experience: Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience. Experience in a managed care environment preferred. 0-2 years of experience

Walk me through the day to day responsibilities of this the role and a description of the project:

  • Complete assigned tasks and document findings
  • Coordination with multi-disciplinary teams
  • Follow up calls to members
  • Any other projects that may arise

Describe the performance expectations/metrics for this individual and their team:

  • Must be able to meet strict turn-around times with documentation
  • Conduct follow up calls in a timely manner
  • Flexible
  • Professional