Degreed Social Worker - Health Plan
Apply NowCompany: TotalMed
Location: Albuquerque, NM 87121
Description:
Degreed Social Worker-Health Plan
Job ID #1816672
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About this Role
Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
Job details
$45.87 / hour
Albuquerque area, New Mexico
New
Profession: Degreed Social Worker
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 05/12/2025
Apply
Responsibilities
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare
- Conducts telephonic, face-to-face or home visits as required.
- Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly
- Maintains ongoing member case load for regular outreach and management
- Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for members
- May implement specific wellness programs i.e. asthma and depression disease management
- Facilitates interdisciplinary care team meetings and informal ICT collaboration.
- Uses motivational interviewing and clinical guideposts to educate, support and motivate change during member contacts
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns
- Collaborates with RN case managers/supervisors as needed or required
Required Qualifications
3+ years in case management, disease management, managed care, medical, or behavioral health settings
Valid DL
Bachelors Degree (preferably in a social science, psychology, gerontology, public health or social work or related)
Job ID #1816672
| Share
About this Role
Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
Job details
$45.87 / hour
Albuquerque area, New Mexico
New
Profession: Degreed Social Worker
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 05/12/2025
Apply
Responsibilities
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare
- Conducts telephonic, face-to-face or home visits as required.
- Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly
- Maintains ongoing member case load for regular outreach and management
- Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for members
- May implement specific wellness programs i.e. asthma and depression disease management
- Facilitates interdisciplinary care team meetings and informal ICT collaboration.
- Uses motivational interviewing and clinical guideposts to educate, support and motivate change during member contacts
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns
- Collaborates with RN case managers/supervisors as needed or required
Required Qualifications
3+ years in case management, disease management, managed care, medical, or behavioral health settings
Valid DL
Bachelors Degree (preferably in a social science, psychology, gerontology, public health or social work or related)