Guide members through their toughest moments and turn complex needs into clear plans by assessing the whole person, building care plans, and linking members to the right providers and community resources.
This position offers a base salary range of $26.00-$28.00 per hour, depending on location, skills, and experience.
- Guide members by phone and virtually: Manage short- and long-term cases in line with company policies, established guidelines, and industry criteria, with guidance available when complex barriers arise.
- Assess the whole person: Conduct biopsychosocial assessments covering physical, emotional, psychosocial, spiritual, environmental, and financial needs, so every care decision starts with the full picture.
- Spot risk in the data: Use claims-processing tools to analyze paid claims, identify risk indicators, and determine program eligibility.
- Build person-centered care plans: Develop individualized plans for standard and catastrophic cases with measurable short- and long-term goals, then monitor interventions, evaluate effectiveness, and document outcomes.
- Advocate for members: Coordinate resources, support care transitions, and refer members to wellness programs, behavioral health programs, and community-based services so they get quality care and avoid unnecessary costs.
- Bachelor’s or Master’s degree from an accredited Social Work program
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