Program Specialist I - Social Work
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
For Michigan Complete Health: Home visits required Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member's care, including referrals to community resources.
Bachelor's degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience. 2+ years of experience managing and integrating the social/community needs of members. Experience in a managed care environment preferred.
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.
Valid driver's license and LSW (Licensed Social Worker) Required. RN (Registered Nurse), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.
For Michigan Complete Health: RN, licensed nurse practitioner, licensed physicians' assistant, licensed Bachelor's prepared social