Degreed Social Worker
6 days ago
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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