Licensed Social Worker
4 days ago
Job Summary:
We are seeking a skilled Licensed Masters Social Worker to join our team at US Tech Solutions. As a key member of our staff augmentation firm, you will provide social work assistance to our members, utilizing your clinical expertise and administrative knowledge to assess, plan, implement, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness.
Responsibilities:
- Review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions.
- Provide active case management, assess service needs, develop and coordinate action plans in cooperation with members, monitors services and implements plans, to include member goals.
- Perform medical or behavioral review/authorization process, ensuring coverage for appropriate services within benefit and medical necessity guidelines.
- Maintain current knowledge of contracts and network status of all service providers and applies appropriately.
Requirements:
- Master's degree in Social Work (MSW) or related field.
- Active, unrestricted licensure as a social worker from the United States and in the state of hire.
- Years of recent clinical experience in a defined specialty area, such as oncology, cardiology, or mental health.
- Strong communication and interpersonal skills, with ability to work independently and prioritize effectively.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. We are an Equal Opportunity Employer and welcome applications from qualified candidates.
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