Case Manager Social Worker (Remote)

Description:

The associate will focus on assessing, planning, facilitating and monitoring member care. The associate identifies issues, makes recommendations and implements interventions with or without Case Management involvement. The Social Worker facilitates communication and serves as a liaison and educator between the member, family, the Plan and all members of the health care team, thus promoting high quality, cost-effective services.

Duties and Responsibilities:

• Develops appropriate plan and implements interventions based on assessed needs
• The associate accurately documents within the manage care system, utilizing appropriate standard templates and identifies themselves as the Primary care Management Coordinator working with the member.
• The associate optimizes the member’s benefit by promoting effective and efficient use of health care resources. The associate encourages independence by educating member/family, providing wellness information and making appropriate referrals to community resources and disease management vendors.
• Appropriately monitors the effectiveness of the plan and documents interventions and follow-up
• Appropriately contacts member to identify social problems. Based on communication with the member/family, and input from physician or other members of the health care team, the member’s individual circumstances area critically assessed to determine service needs. The associate will monitor the effectiveness of referrals and follow-up as appropriate
• The associate provides exceptional customer service to all internal and external customers.
• The associate develops a strong understanding of community resources with may be recommended to support the member/family beyond the Plan’s benefit parameters

Fully Remote:

This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to perform the work.