Program Specialist I (Social Work)

in Appleton
, WI
Reference: 19-03452

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


  • 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


  • 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)