Program Specialist 1- Social Worker

2 weeks ago


Mon Village, India Pacer Staffing Full time

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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