About this role
Role Overview
- assesses and evaluates members' needs in a telephonic environment
- achieve and maintain wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members
- employ a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues
- resolve barriers that hinder care
- ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations
- create member care plans
- support the Transition of Care (TOC) program to ensure continuity of care for members as they move between care settings
- assist with HEDIS completion follow up visits after TOC and conduct field visits based on member needs and program requirements
Requirements
- Bachelor's degree
- 3 or more years of experience working as a licensed Social Worker
- Hold an active and unrestricted license as a Behavioral Health Professional in South Carolina, such as; Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Social Worker (LSW)
- Master's degree in a behavioral-health field, such as social work, psychology, or related health discipline from an accredited university (preferred)
- 1 year of managed care experience (preferred)
- Transition of care (TOC) experience (preferred)
- CCM certification (preferred)
- Experience working with the geriatric population (preferred)
- Knowledge of community health and social service agencies and additional community resources (preferred)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance