Degreed Social Worker

6 days ago


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

Job ID #1702075

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About this Role

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

Job details

$24.69 / hour

Lubbock or Amarillo, Texas

Profession: Degreed Social Worker

Facility Type: ???

Specialty: Health Plan

Division: MedFi

Start Date: 01/07/2025

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Responsibilities

• Identifies problems/barriers to care and provide appropriate care management interventions

• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services

• Provides resource support to members and care managers for local resources for various services

• Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services

• May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources

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

• Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits

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

Required Qualifications

• 5+ years Working the aged , blind or disabled population

• Bachelor's degree and 2 - 4 years of related experience or LVN and 2 - 4 years of related equivalent experience

• LVN license preferred

• Bilingual strongly preferred

• Social Service/ Social Work/ Care Management / Services Coordination experience preferred

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