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Resp & Qualifications
PURPOSE:
The Social Worker (SW) may support the Care Managers, Supervisors, Manager, and Director of Care Management for the FEP Population. They are to ensure available resources are being used in a timely and cost-effective manner to obtain optimum value for both the member/enrollee and the reimbursement source. The SW will adhere to the principle of the Quadruple Aim improving member/enrollee experience, improved clinical outcomes, lower costs while pursuing health equities for our members/enrollees and retaining staff.
The SW will be fully engaged in the team direction, address problems and provide guidance to members of the team to meet established performance metrics and performance guarantees. The SW is part of an effective, efficient workforce to support all aspects of the FEP Care Management department across the continuum of care settings, clinical programs, and services for members/enrollees. This includes the planning, implementation, and refinement of Care Management services, interventions and initiatives that support departmental and divisional goals.
The role works closely with the Care Management Coordinator, Care Manager, Supervisor, and Manager to develop and operationalize sustainable processes to support functional improvements for the organization.
NOTE: We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.
ESSENTIAL FUNCTIONS:
QUALIFICATIONS:
Education Level: Master's Degree in LICSW - Licensed Independent Clinical Social Worker or LCSW- Licensed Clinical Social Worker
Experience: 5 years Proven experience in a clinical social work role.
Knowledge, Skills and Abilities (KSAs)
Licenses/Certifications: LCSW- License Clinical Social Worker LICSW - Licensed Independent Clinical Social Worker or LCSW- Licensed Clinical Social Worker Upon Hire Required.
Salary Range: $59,976 - $119,119
Travel Requirements: Occasionally
Estimate Amount: Varies
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
PPO Care Management
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship.
#LI-SS1
Full Time
$85k-106k (estimate)
05/05/2024
07/04/2024
CAREFIRST.COM
Owings Mills, MD
<25
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