What are the responsibilities and job description for the Degreed Social Worker - Health Plan position at TotalMed?
Degreed Social Worker-Health Plan
Job ID #1741198
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About this Role
The Field Case Management Coordinator utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and / or health needs through communication and available resources to promote optimal, cost-effective outcomes. Experience with case management is preferred.
Job details
40.83 / hour
Southside Chicago, Illinois
Profession : Degreed Social Worker
Facility Type : ???
Specialty : Health Plan
Division : MedFi
Start Date : 02 / 10 / 2025
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Responsibilities
Through the use of care management tools and information / data review, conducts comprehensive evaluation of referred member's needs / eligibility and recommends an approach to case resolution and / or meeting needs
Coordinates and implements assigned care plan activities and monitors care plan progress.
Using holistic approach consults with case managers, supervisors, Medical Directors and / or other health programs to overcome barriers to meeting goals and objectives
Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and / or healthcare needs.
Provides coaching, information and support to empower the member to make ongoing independent medical and / or healthy lifestyle choices.
Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Required Qualifications
- Case management experience preferred
- 2 years experience in behavioral health, social services or appropriate related field equivalent to program focus
- Managed Care experience preferred
- Bachelor's degree REQUIRED or non-licensed master-level clinician, with degree being in behavioral health or human services (psychology, social work, marriage and family therapy, nursing, counseling, etc.)
Salary : $41