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Degreed Social Worker

2 months ago

Tampa, United States TotalMed Full time
Degreed Social Worker-Health Plan

Job ID #1616878

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About this Role

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Job details

$28.00 / hour

Tampa, Florida

New

Profession: Degreed Social Worker

Facility Type: ???

Specialty: Health Plan

Division: MedFi

Start Date: 10/14/2024

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Responsibilities

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome

• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care

• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members

• Provides resource support to members and their families/caregivers for various needs

• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs

• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met

• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

• May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners

• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits

• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner

Required Qualifications

2+ years case management experience

Experience with electronic medical records

Strong computer skills - MS office

Bachelor's Degree

Bilingual in Spanish required

Home health preferred

Long term care preferred

Discharge planning preferred