Job description

Overview:

TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Job Description

Dept: SHS CM Program Delivery

Engagement Description:

• "Support the overall improvement of member's health status in collaboration with the case managers and physicians by identifying and referring members to community resources, counseling and/or support services.
• Educate patients about entitlement programs, legal issues or other services relevant to social work practice skills and knowledge.

RESPONSIBILITIES/TASKS:

• Develop, coordinate and evaluate a social worker assessment for identified members.
• Consult and coordinate with the case manager and physician to identify member issues and develop a plan to resolve the issues
• Assess the member's progress to social work intervention and community services provided through on site visits and POD review sessions upon invitation
• Assist the Case Manager with psychosocial needs assessment and identification of appropriate resources.
• Identify and refer members to community resources, counseling, and/or support for the member and/or authorized representative, as needed
• Document all activities as appropriate, including but not limited to member assessment, communication with case managers, PCP or issues related to guardianship, abuse/neglect.
• Educate the member and/or authorized representative about entitlement programs (i.e., Medicaid, Social Security), legal issues (i.e. guardianship, advanced directives) and assisting in the application process as needed
• Assist the member and/or authorized representative with long-term care planning and of end-of-life decisions and options as needed
• Provide member support as needed throughout hospice period.
• Provide member receiving hospice services with information regarding appropriate community resources.
• Travel may be required.
• This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EDUCATION:

• Master's Degree in Social Work required. Current unrestricted Licensed Master's Social Worker or Limited License in Psychology in the State of Michigan is required.
• Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

• Minimum of five (5) years of board medical social work experience required. Minimum of two (2) year to be in home health care and/or medical case management preferred

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Knowledge of clinical programs and P&P, HIPAA regulations and guidelines, American Disability Act, URAC standards (CM SW only) and clinical ethics
• Motivational interviewing skills as well as experience in performing assessments and interventions
• Knowledge of Medical Policy, CM and DM principles and alternate levels of care
• Knowledge of Client benefits
• Basic computer applications/Microsoft word/typing required
• CM, CCM Admin Modules and Care Advance systems
• VDA, Virtual Desk Top (work from home)
• Ability to engage and motivate the member or member representative, mentor and train
• Identify existing and or potential psychosocial and quality of care issues
• Interact and collaborate with multidisciplinary team while advocating on member's behalf
• Providing effective written and verbal communication/feedback
• Organizational skills and ability to prioritize and have a flexible work schedule

TekWissen® Group is an equal opportunity/affirmative action Employer (m/f/d/v) supporting workforce diversity.

Job Types: Full-time, Contract

Pay: Up to $34.00 per hour

Benefits:

• Health insurance
• Vision insurance

Work Location: Remote

offroadmanagementgroup.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, offroadmanagementgroup.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, offroadmanagementgroup.com is the ideal place to find your next job.