- Conduct screening and risk assessment interventions per program guidelines.
- Assist with non medical aspects of the member's care, including referrals to community resources.
- Identify special needs members through the completion of health screens and other resources
- Work with community outreach/member advocates to coordinate member care
- Educate providers and community resources on program components and available support services
- Educate members with special needs to foster compliance with program and positively impact outcomes
- Conduct site visits as appropriate for programs and provide support to other special programs
- Develop and modify care plans in conjunction with member, member's family and managing physician
- Development of plan specific literature and education materials in conjunction with medical director and corporate oversight
- Bachelor's degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience.
- Experience in a managed care environment preferred.
- 0-2 years of experience
-
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Program Specialist - Raleigh, United States - Spectraforce Technologies
Description
Title: Program Specialist (Social Worker) 1Duration: 06 months (With possible extenion)
100% Remote (South texas/Rio grande valley candidates preferred)
Shift: 8A-5P (Mon-Fri)
Note: 5% to 10% travel required (just in case of team-building events or meetings)
Summary:
Preferred Skills/ Experience:
1.
Licensed social work
1.
Bilingual preferred.
2.
2.
Organized.
3.
3.
Strong time management skills.
4.
4.
5.
5.
Education Requirement:
Licensed social worker
Education Preferred:
Software Skills Required:
Microsoft Word, Excel
Required Certifications:
Required Testing:
None