Position Purpose:
- Identify special needs members through the completion of health screens and other resources
- Work with community outreach/member advocates to coordinate member care
Educate providers and community resources on program components and available support services - Educate members with special needs to foster compliance with program and positively impact outcomes
- Conduct site visits as appropriate for programs and provide support to other special programs
- Develop and modify care plans in conjunction with member, member’s family and managing physician
- Development of plan specific literature and education materials in conjunction with medical director and corporate oversight
- Conduct screening and risk assessment interventions per program guidelines
- Assist with non medical aspects of the member’s care, including referrals to community resources
Education/Experience:
- Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience
- 2+ years of experience managing and integrating the social/community needs of members
- Experience in a managed care environment preferred
License/Certification:
- Valid driver’s license
- RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse)