Program Specialist 1- Social Worker
2 weeks ago
JobDescription:
JobTitle: Program Specialist 1 Social Worker
Location: Remote role
Duration: 8 months (Possibleextension)
Shift: MonFri 8 am5 pm 8a 5p MF 9a 6p Saturdays (alternating approximately everyother weekend) ***includes holidays
Job Summary:
- Conduct screening and risk assessment interventions perprogram guidelines.
- Assist with nonmedicalaspects of the members care including referrals to communityresources.
Walk me throughthe daytoday responsibilities of this the role and a description ofthe project (
- HealthyOpportunities (HOP) Eligibility & Enrollments BenefitsEligibility Screenings Cold Calls Assistance in phone queue.
ProductivityExpectations:
- HOPrelatedtasks and correlating average processing times. Required tomeet/exceed the minimum 6.5 hrs. of daily completedwork.
Task: AverageProcessing Time
Assessments< 20 minutes
Eligibility/Enrollments < 30minutes
ServiceAuthorizations/Disenrollments < 7 minutes.
2day followups < 5 minutes
Productivity logs should reflect 6.5 hrs. per dayof completed work.
Forexample:
Task CalculationHH:MM
(8)Eligibility/Enrollments 8x30/60 4
(6) Assessments 6x20/60 2
(6) 2day followups 6x5/60 0.5
Total 6.5
Job Responsibilities:
- Healthy Opportunities (HOP) Eligibility &Enrollments Benefits Eligibility Screenings Cold Calls Assistancein phone queue.
- Identify special needs membersthrough the completion of health screens and otherresources.
- Work with community outreach/memberadvocates to coordinate member care.
- Educateproviders and community resources on program components andavailable support services.
- Educate memberswith special needs to foster compliance with program and positivelyimpact outcomes.
- Conduct site visits asappropriate for programs and provide support to other specialprograms.
- Develop and modify care plans inconjunction with members members family and managingphysician.
- Development of plan specificliterature and education materials in conjunction with medicaldirector and corporate oversight.
Minimum Qualification:
- Bachelor/masters in social work.
- Proficient with excel/word.
- Experienced MSW/SW in a healthcare/communitysetting.
- Community work experience withclosing SDOH needs.
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