Social Worker

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Overview:

TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Title: Social Worker Work Location: Detroit, MI 48226 Duration: 12 Months Job Type: Contract Work Type: Remote Dept: SHS CM Program Delivery Engagement Description:

  • "Support the overall improvement of member's health status in collaboration with the case managers and physicians by identifying and referring members to community resources, counseling and/or support services.
  • Educate patients about entitlement programs, legal issues or other services relevant to social work practice skills and knowledge.

RESPONSIBILITIES/TASKS:
  • Develop, coordinate and evaluate a social worker assessment for identified members.
  • Consult and coordinate with the case manager and physician to identify member issues and develop a plan to resolve the issues
  • Assess the member's progress to social work intervention and community services provided through on site visits and POD review sessions upon invitation
  • Assist the Case Manager with psychosocial needs assessment and identification of appropriate resources.
  • Identify and refer members to community resources, counseling, and/or support for the member and/or authorized representative, as needed
  • Document all activities as appropriate, including but not limited to member assessment, communication with case managers, PCP or issues related to guardianship, abuse/neglect.
    Educate the member and/or authorized representative about entitlement programs (i.e., Medicaid, Social Security), legal issues (i.e. guardianship, advanced directives) and assisting in the application process as needed
  • Assist the member and/or authorized representative with long-term care planning and of end-of-life decisions and options as needed
  • Provide member support as needed throughout hospice period.
  • Provide member receiving hospice services with information regarding appropriate community resources.
  • Travel may be required.
  • This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EDUCATION:
  • Master's Degree in Social Work required. Current unrestricted Licensed Master's Social Worker or Limited License in Psychology in the State of Michigan is required.
  • Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:
  • Minimum of five (5) years of board medical social work experience required. Minimum of two (2) year to be in home health care and/or medical case management preferred

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
  • Knowledge of clinical programs and P&P, HIPAA regulations and guidelines, American Disability Act, URAC standards (CM SW only) and clinical ethics
  • Motivational interviewing skills as well as experience in performing assessments and interventions
  • Knowledge of Medical Policy, CM and DM principles and alternate levels of care
  • Knowledge of Client benefits
  • Basic computer applications/Microsoft word/typing required
  • CM, CCM Admin Modules and Care Advance systems
  • VDA, Virtual Desk Top (work from home)
  • Ability to engage and motivate the member or member representative, mentor and train
  • Identify existing and or potential psychosocial and quality of care issues
  • Interact and collaborate with multidisciplinary team while advocating on member's behalf
  • Providing effective written and verbal communication/feedback
  • Organizational skills and ability to prioritize and have a flexible work schedule
TekWissen® Group is an equal opportunity employer supporting workforce diversity.

Read the full job description and apply online on the recuiter's web-site

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