Medical Mgmt Social Worker II (Health Advocacy Solutions)

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Job Summary

This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, transportation and/or helping with locating support groups, as applicable. Evaluate the psychosocial and emotional needs of members with ongoing and/or situational medical concerns through coaching, education, and support for low acuity emotional needs. Coordinating referrals for behavioral health services when their emotional/mental health needs are more chronic in nature. Will assist the member in both inpatient or outpatient settings and will provide discharge planning assistance, as appropriate, during an inpatient stay. May travel to members home-settings to evaluate or coordinate treatment needs.

JOB REQUIREMENTS:

• Master Degree in one of the following Behavioral Health areas: Social Work, Psychology, Human Services, with current unrestricted clinical license/certification in good standing in the state(s) of operation

• 1 year of utilization management, discharge planning or managed care experience

• Customer service oriented

• PC proficiency to include Word, Excel, and database experience

• Current valid license and transportation

• Verbal and written communication skills

• Ability to remain at a work station and perform computer entry for long periods of time, as required

• Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management

PREFERRED JOB REQUIREMENTS:

• 2 years experience of direct clinical care to the consumer

• 2 years of utilization management, discharge planning or managed care experience

• 3 years of clinical practice experience, complex case management

• Certified Case Management credentialing and /or ACM certification

• Provider side insurance experience

• Familiarity with ancillary services including Home Health Care (HHC) or Skilled Nursing Facility (SNF).

• Bilingual in English/Spanish or English/Polish

This position is REMOTE / TELECOMMUTE

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HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$58,800.00 - $130,100.00 Apply