What are the responsibilities and job description for the Social Worker position at A-Line Staffing Solutions?
Job Description
Job Description
Job Title : Social Worker
Pay : $23-$27 an hr | Bi-weekly
Job Type :
Onsite in Dallas, PA
Shift Options : 8a – 4pm M-F
Social Worker Overview :
Responsibilities include answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls utilizing appropriate courteous and professional behavior based upon established standards.
Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.
Review criteria-based prior authorizations following policy and procedure.
Provide on-call after hours nurse availability for urgent PA requests.
Provide internal nurse support to the PA team and member services department .
Refer cases not meeting clinical criteria to the Pharmacist and MD team(s).
Shift priorities while exhibiting a high level of urgency with all calls and assignments.
Excellent verbal and written skills.
You will work with pharmacists, other clinical colleagues, healthcare professionals and members.
Follow all prior authorization procedures to guarantee an accurate process on each prior authorization.
Complete other PA assignments as delegated by the PA leadership team.
Social Worker Qualifications :
Looking for Prior Authorization, Utilization Review, and LPN Call Center experience.
Must have active, current and unrestricted Licensed Practical / Vocational Nurse in state of residence
2 years of LPN / LVN clinical experience
1 years of experience using Microsoft Teams, including Word, Excel and Outlook
Must be willing and able to work Monday through Friday, Sunday through Thursday or Tuesday through Saturday between hours of 8am to 8pm CST zone
Social Worker Benefits :
Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.
How to Apply :
If you are interested in this position, please apply OR submit your resume to :
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