Program Specialist II (Social Worker)

Centene   •  

Chicago, IL

Industry: Healthcare IT

  •  

8 - 10 years

Posted 395 days ago

Description

 Position Purpose:

  • Identify special needs members through the completion of health screens and other resources
  • Work with community outreach/member advocates to coordinate member care
  • Educate providers and community resources on program components and available support services
  • Educate members with special needs to foster compliance with program and positively impact outcomes
  • Conduct site visits as appropriate for programs and provide support to other special programs
  • Develop and modify care plans in conjunction with member, member’s family and managing physician
  • Development of plan specific literature and education materials in conjunction with medical director and corporate oversight

 

Qualifications

 Conduct screening and risk assessment interventions per program guidelines. Act as primary liaison for members and staff. Assist with non medical aspects of the member’s care, including referrals to community resources.

Education/Experience:
Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or equivalent experience. Master’s degree in Social Work preferred. 4+ years of community experience in directly managing and integrating the social/community needs of the members. Experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic and complex conditions.

License/Certification:
Valid driver’s license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.

Requirements for the state of New Hampshire focused on Developmental Disabilities:
Education/Experience:
Bachelor’s degree in Social Work, Psychology, Education, Public Health or a related field. Master's degree preferred. 8+ years of demonstrated experience both in the provision of direct care services as well as progressively increasing levels of management responsibilities, with a particular focus on direct care and administrative responsibilities related to services provided for developmentally disabled individuals.

License/Certification:
Valid driver's license. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.

Requirements for the state of New Hampshire focused on Special Needs:
Education/Experience: Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science, or related field. Master’s degree in Social Work preferred. 8+ years of community experience in directly managing and integrating the social/community needs of the members. Experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic and complex conditions.

License/Certification:
Valid driver's license. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.

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