Degreed Social Worker

1 week ago


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

Job ID #1719890

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About this Role

Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues

Job details

$34.10 / hour

Champaign, Illinois

New

Profession: Degreed Social Worker

Facility Type: ???

Specialty: Health Plan

Division: MedFi

Start Date: 01/06/2025

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Responsibilities

Determines medical necessity/ appropriateness

Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action

Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy

Collaborate with healthcare professionals, including doctors, nurses, therapists, and case managers, to develop comprehensive care plans that address the unique needs of each individual.

Advocates for clients within the healthcare system, ensuring they receive appropriate care and support

Required Qualifications

2+ years of experience in behavioral health or social services field or human services.

Must have 2+ years of experience in case management

Bachelor's degree required - no nurses. Social work degree or related field.

Willing and able to travel using your own vehicle 50-75%
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