Licensed Social Worker jobs at America's Health Insurance Plans

Planning Ahead: Internship Opportunities for Summer 2026 - Get Started Early! The Social Work Intern provides essential support to the Concierge Care Coordination (C3) Department by assisting with care management operations and member engagement activities. Responsibilities include documenting and tracking all incoming care management referrals from multiple sources and conducting initial outreach to members for completion of Health Risk Assessments (HRA). The intern facilitates appropriate referrals to health, behavioral health, and community-based social services to address and reduce barriers to care. Additionally, the intern distributes educational and program materials, ensures maintenance of all required legal documentation in accordance with contractual and regulatory standards, and supports care coordination tasks such as scheduling member appointments, tracking provider documentation, and maintaining accurate records within designated systems. Essential Duties and Responsibilities: * Maintains confidentiality and upholds enrollee rights and responsibilities, ensuring all interactions adhere to HIPAA and CCP privacy standards. * Reviews and analyzes available data sources to identify appropriate candidates for completion of Health Risk Assessments (HRA). * Conducts initial outreach to identified memberswho meet criteria for targeted populations. * Researches and verifies enrollee contact information to improve successful engagement * Performs comprehensive outreach efforts via telephone, text message, email, and/or mail - with a minimum of three (3) documented attempts within 60 days, conducted at varying times and days to maximize member contact. * Completes Social Work (Social Determinants of Health - SDOH) Assessments and Treatment Plans, ensuring documentation aligns with clinical and regulatory standards. * Conducts bio-psychosocial assessments to guide individualized interventions aimed at reducing Potentially Preventable Events (PPEs). * Formulates and implements holistic care plans that address medical, behavioral, and social determinants impacting member well-being. * For enrollees residing in a Nursing facility, the intern assists with obtaining compliance documentation and monitors the appropriateness of placement and Level of Care for enrollees residing in SNFs. * Facilitates referrals to health and community resourcesto promote medical and psychosocial stability, following a closed-loop process ensuring enrollees receive needed resources, including but not limited to: * Behavioral health therapy * Food and nutrition resources * Financial assistance programs * Case management and long-term care services * Pregnancy and family support resources * Collaborates with healthcare facilities, providers, and government entities to facilitate access to essential benefits and improve enrollee functioning and quality of life. * Develops and maintains relationships with key community resource agencies to enhance coordination and referral outcomes. * Educates and engages members by explaining the Concierge Care Coordination (C3) Program and encouraging participation in appropriate services. * Supports implementation of CCP initiatives and programs by helping enrollees navigate the healthcare system and linking them to appropriate resources or care management programs. * Identifies eligible members for CCP Healthy Behavior Programs, explains available options and facilitates referrals accordingly. * Monitors and addresses gaps in care for assigned populations, ensuring timely interventions and coordination with the care management team. * Assists enrollees with appointment scheduling, transportation arrangements, and removal of other barriers to care to promote continuity and access. * Maintains complete and accurate enrollee records in accordance with contractual and regulatory documentation standards, ensuring files are "audit ready" at all times. * Provides health education and guidance, supporting members in reviewing, understanding, and discussing their care plans and health information with providers in a manner appropriate to their language, literacy, and comprehension level. * Participates in internal and external community outreach, health promotion, and education activities that support CCP's mission and enhance member engagement. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: * Must be currently enrolled in an accredited college or university program, pursuing a degree in Social Work, Psychology, Counseling, Human Services, or a related field. * Bilingual preferred (English, Spanish and/or Creole) Skills and Abilities: Adaptability and Flexibility: * Ability to adjust to evolving departmental priorities and support diverse care coordination needs in a dynamic environment. Independence and Initiative: * Demonstrates self-motivation, effective time management, and the ability to complete tasks independently with minimal supervision Communication Skills: * Exceptional oral and written communication, with the ability to clearly explain complex concepts to members, providers, and colleagues. * Strong interpersonal and relationship-building skills for collaboration within multidisciplinary teams. Organization and Problem-Solving Skills: * Highly organized with the ability to manage multiple tasks and competing priorities. * Demonstrated skill in problem-solving and navigating complex patient, provider, and system interactions. Collaboration and Teamwork: * Effective participant in cross-functional teams, fostering a cooperative and supportive work environment. Project and Task Management: * Demonstrates follow-through on assignments and projects, with sound judgment and a commitment to quality outcomes. Member Engagement and Education: * Skilled in motivational interviewing techniques and adult learning principles to engage members in care programs. * Ability to support enrollees in navigating complex healthcare systems with empathy and effectiveness. Analytical Skills: * Strong analytical ability to interpret safety rules, procedural manuals, and operating guidelines. * Capable of writing clear reports, correspondence, and presenting information effectively one-on-one and in group settings. Mathematical Skills: * Proficient in basic mathematical functions (addition, subtraction, multiplication, division) and able to calculate ratios, percentages, and interpret graph. Practical Problem-Solving: * Demonstrated ability to address diverse and non-standardized issues, interpreting written, verbal, or diagrammed instructions to resolve problems effectively. Cultural Competence & Sensitivity * Ability to work effectively with diverse populations, demonstrating cultural humility and awareness of social determinants of health (SDOH). * Sensitivity to the needs of vulnerable populations, including pediatric, maternity, behavioral health, and medically complex members. Customer Service Orientation * Strong commitment to delivering member-centered service, including empathy, patience, and responsiveness when addressing enrollee needs. Confidentiality & Compliance * Knowledge of and adherence to HIPAA and other privacy standards. * Ability to manage sensitive information responsibly and with discretion. Technology & Data Literacy * Comfortable learning and adapting to new health IT systems, portals, and reporting tools. * Basic data entry accuracy, data validation, and ability to run reports as needed. Critical Thinking & Prioritization * Ability to assess competing tasks and prioritize work to meet contractual and regulatory deadlines. * Capacity to escalate cases appropriately when clinical judgment is required. Conflict Resolution & De-escalation * Skill in managing difficult conversations with members, families, or providers using de-escalation techniques. * Ability to remain calm under pressure and find constructive solutions. Continuous Improvement & Learning * Willingness to participate in ongoing training, quality improvement projects, and process development. * Openness to feedback and commitment to professional growth. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity and inclusion.

**Disney Mental Health Concierge** Organizational Engagement and Strategy + Consult with managers regarding important workplace issues: including, but not limited to, grief and loss in the workplace, job appropriate behaviors, employee/cast member terminal illness impacts and leadership support. + Facilitate critical incident response by consulting with requesting manager and direct service providers to arrange appropriate clinical services, including onsite services. + Work closely with EAP providers. Educate EAP providers regarding EAP protocols and expectations, and monitors compliance to standards. + Co-create and execute on engagement campaigns/promotion in collaboration with broader Evernorth/Cigna. Cast Member Engagement & Navigation + Primary point of contact and deployment for critical incident occurrences. + Collaborate with Matrix Partners to obtain necessary information to provide the most appropriate resources. + Provide onsite, virtual, and in-person navigation to emotional well-being resources, including EAP referrals, appointment setting assistance, provider searches, work/life programs, health coaching, case management, behavioral case management, etc. + Provide psychological first aid, assessment, and intervention for crisis situations as needed. + Ensure the appropriate next steps are put in place for referrals into medical, pharmacy or behavioral coaching programs, in addition to any alignment with a behavioral provider + Provide follow-up to all Cast Member connections that take place. + Identify and address SDOH needs such as food, housing medication, and transportation. + Assist in connecting Cast Members with identified community resources to meet their needs. + Work closely with Cast Members and Employees to ensure they have the support system they need to recover from their specific need, illness, or injury. + May facilitate and lead manager and employee mental health trainings. + Provide on-call and on-site services as needed. Expected to be available via email, text, or phone. General Expectations + Culturally trained on Disney Organizational, Cast Member and Employee roles and responsibilities, benefits, programs, and inventory of resources. + Will work on-site in Walt Disney World Park and be deployed to various locations as needed. + Will be available to all team members, for consultation. + Perform additional tasks/projects as needed, requested or assigned. + Attend all required trainings. + Comply with all Evernorth Behavioral Health policies and Standard Operating Procedures. + Take initiative for continued professional development. + Work closely with the Disney Account Team, Health Coaches, Case Managers, Onsite EAP providers, EACs, Behavioral UM and CM teams to align on cases and hand off appropriately as needed. + Will work directly with Disney Human Resources and Employee Relations teams as needed. + Consult with Cigna/Evernorth clinical supervisor when needed. + Open to suggesting and implementing improvements and enhancements to Mental Health Concierge role and responsibilities. Qualifications + Current unrestricted independent licensure in a behavioral health field or a medical field with experience in a psychiatric setting (LCSW, LMFT, LPC, LPCC, Licensed Psychologist or RN) + Master's Degree in Behavioral Health field + Knowledge and experience in accessing community resources to help cast memberswith basic needs. + Certified in Mental Health First Aid + CEAP (certified employee assistance professional) required to obtain within 2 years of employment. + 3 - 5 years post-license mental health experience preferred + 3 - 5 years experience responding effectively to diverse situations while working across all organizational levels. + Excellent communication and interpersonal skills with a focus on customer service + Effective conflict management and negotiation skills + Ability to adapt to change and problem solve + Strong time management and organization skills with an ability to set priorities in a fast-paced environment + Ability to utilize and navigate multiple technology systems + Bilingual in Spanish or Haitian Creole preferred + Knowledge of managed care preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**$5,000 Sign-on Bonus for External Candidates** Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.** The Optum at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA **This is a field-based position in the greater Washington D.C. area, expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area.** **You'll need to be flexible, adaptable and, above all, patient in all types of situations.** **Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required).** **Primary Responsibilities:** + Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care + Develop and implement care plan interventions throughout the continuum of care as a single point of contact + Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members + Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team + Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care + Document the plan of care in appropriate EHR systems and enter data per specified + Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship + Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care + Provide ongoing support for advanced care planning + Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals + Understand and operate effectively/efficiently within legal/regulatory requirements + Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) + Make outbound calls and receive inbound calls to assess members' current health status + Identify gaps or barriers in treatment plans + Provide member education to assist with self-management + Make referrals to outside sources + Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction + Support members with condition education, and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Master's degree in social work or another related clinical field + Active and unrestricted LICSW or LGSW license in Washington D.C. or ability to obtain Washington, D.C. License within 90 days of hire + 2+ years of experience in long-term care, home health, hospice, public health or assisted living + 2+ years of experience working with MS Word, Excel and Outlook + 1+ years of experience with using an Electronic Medical Record + 1+ years of clinical case management experience + Valid Driver's License and access to reliable transportation + Ability to work in a field-based capacity in Washington, D.C. + Reside within 50 miles of Washington, D.C **Preferred Qualifications:** + Certified Case Management (CCM) + 1+ years of experience working with geriatric population + 1+ years of LTSS (Long Term Services and Supports) + Experience with arranging community resources + Field-based work experience going into member homes + HCBS (Home and Community Based Services) experience + Background in managing populations with complex medical or behavioral needs The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ _vjm_