Medical Mgmt Social Worker II (Health Advocacy Solutions)
Chicago Illinois HQ (300 E. Randolph Street)
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
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Job SummaryThis 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 ApplyJob Profile
Curated development plans Curated growth plans Employee Referral Process Inclusive workplace Professional development Purpose-driven company Purpose-driven work environment
Tasks- Assist members and families
- Case management
- Coordinate referrals for services
- Discharge planning
- Evaluate psychosocial needs
- Issue resolution
- Provide discharge planning
- Travel to member home-settings
- Utilization Management
Behavioral health Bilingual Business Case Management Clinical Care Clinical license Clinical Practice Coaching Communication Communications Customer service Database Database experience Database Management Discharge planning Emotional support English Excel Familiarity with ancillary services Health care Human services Insurance Managed Care Management Microsoft Excel Microsoft Word Nursing PC PC Proficiency Planning Psychology Resource identification Social Work Spanish Utilization management Word Written communication
Experience1-3 years
EducationBusiness Communications English Master's degree Nursing
CertificationsACM certification Certified case management Clinical license
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9