- Uses Person Centered Planning to identify plans that are best fit for members within Mainecare Benefits Manual Sections 21 and 29 waiver programs.
- Assesses member psychosocial needs; plans for, evaluates, and modifies interventions to meet member needs.
- Collaborates with other disciplines to plan and evaluate team goals for each member.
- Facilitates referrals to community agencies when appropriate
- Adheres to company policies and procedures while providing services and preparing/submitting required paperwork.
- Functions as a resource person for other members of Clinical Review Team, providing in-service education and consultation in understanding the social and emotional factors related to health problems.
- Maintains knowledge of the field including Medicare, Medicaid, Mainecare and other third-party reimbursement sources.
- Participates in planning and implementing quality improvement activities as necessary
- Provides positive experiences in assisting members, families, other departmental employees, referral resources, service agencies, and others.
- Baccalaureate degree in Social Work (BSW) from a school of social work accredited by the Council on Social Work Education per state/client requirements required
- Three (3) years in social service program delivery or management, with preference given to those with experience serving individuals with intellectual disabilities or autism or case management.
- Successful completion of new hire training as applicable to job site
- Understand member confidentiality and HIPAA requirements
- Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required
- Computer proficiency required
- Must be at least 18 years of age
- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs
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Social Worker - Augusta, United States - Amergis
Description
CRT (Clinical Review Team) - Social WorkerDescription:
Amergis Healthcare Staffing is seeking qualified Social Workers (LSW), for a Clinical Review Team with the state of Maine.
CRT Social Workers will be part of a team of professionals within the State of Maine's Office of Aging and Disability Services (OADS) that works to support programs for adults with intellectual disabilities and autism, the Clinical Review Team (CRT).
They are responsible for decisions and authorizations related to services available through Sections 21 and 29 of the Mainecare Benefits Manual as well as support to providers of those services. For more information about these programs, please visit:
Pay Range: $25 - $32/hour
13 paid holidays per year
Up to 10 days of accrued PTO, based on assignment duration.
*Please note that this pay range represents a good faith estimate of the compensation that will be offered for this position. The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, qualifications, and additional preferred experience.
Essential Duties and Responsibilities:
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.