Degreed Social Worker

3 weeks ago


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

Job ID #1717586

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About this Role

Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Conducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress

Job details

$34.10 / hour

Tampa, Florida

New

Profession: Degreed Social Worker

Facility Type: ???

Specialty: Health Plan

Division: MedFi

Start Date: 01/05/2025

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Responsibilities

Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs

Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members.

Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.

Case Management Coordinators will determine appropriate services and supports due to member's health needs

including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Required Qualifications

1+ Case management experience required

1+ Long term care experience preferred

Microsoft Office including Excel competent

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

BILINGUAL is required
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