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Position:Social Worker

Position Summary:The Social Work position in the Case Management department at Lumeris coordinates the socioeconomic and psychosocial needs and services of selected members across the continuum of care through the identification and arrangement of community resources and plan benefits. The Social Worker collaborates with an interdisciplinary team, members, and their caregivers to achieve optimal utilization and coordination of medical resources related to case management, disease management and discharge planning. The Social Worker provides support and/or intervention and assists members in understanding the implications and complexities of their current medical/social situation and/or overall personal care.

Job Description:

Primary Responsibilities

Coordinates psychosocial services for members identified as having special needs and assists the members with utilization of medical resources related to case management, disease management and discharge planning.Completes through needs assessments and health screens, identifies psychosocial and economic barriers for accessing services and recommend appropriate resources to overcome barriers.Interacts with members, family, physician(s), case managers and other resources to assess appropriate action needed to address/support medical/psychosocial needs.  Reviews benefits options, researches community resources, coordinates services, trains/creates behavioral routines and enable members to be active participants in their own healthcare.Participates in case conferences to strategize and develop member specific care plans.Participates in activities to develop, review or revise new or existing medical management programs as directed.Identifies and arranges community resources for assistance with psychosocial and/or socioeconomic problem resolution.Maintains appropriate documentation for all contacts and interventions.Maintains HIPAA standards and ensure compliance with protected health information.  Reports critical incidents and information regarding safety, elder abuse, and/or quality of care issues to include appropriate agencies, e.g. protective services as appropriate.Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.Performs special projects as assigned.

Qualifications

LCSW, MSW and licensed in Missouri and Illinois, eligible for licensure in other states as requiredMinimum of 2 years of clinical experienceExperience in a managed care environment preferredComputer proficiencyCommunicates effectively in person, by phone, and by written communicationAbility to handle multiple assignments and prioritize workload

Working Conditions

While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

#LI-Remote

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$63,600.00-$84,300.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position: No- Not Member or Patient Facing Position

Location:Remote, USA

Time Type:Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.