Social Worker - Disease Management
Salary undisclosed
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Position Title: Social Worker – Disease Management
Location: Remote
Schedule: Standard
Duration: 3+ Months, “Contract to Hire”
Summary
Technical Skills:
Location: Remote
Schedule: Standard
Duration: 3+ Months, “Contract to Hire”
Summary
- The Social Worker – Disease Management provides services to TRICARE beneficiaries, working closely with the clinical team to assess, plan, implement, coordinate, monitor, and evaluate the beneficiary’s health and psychosocial needs.
- This role emphasizes empowering beneficiaries to manage their chronic conditions effectively, preventing complications, and minimizing risk through evidence-based tools and support.
- Key responsibilities include contributing to care planning, educating beneficiaries, managing resource utilization, and facilitating transitions between care regions.
- Assess beneficiaries' medical, physical, and psychosocial needs to support their overall goals of care.
- Collaborate with the clinical team to create comprehensive care plans, integrating behavioral and psychosocial assessments.
- Provide education and coaching to manage chronic conditions effectively.
- Ensure appropriate use and access to medical and behavioral resources, maintaining high standards of care.
- Identify and address health disparities and facilitate resource access through SDOH assessments.
- Develop measurable outcomes to monitor the impact of programs and services on beneficiaries' health.
- Assess risk factors and need for additional TRICARE services and resources.
- Facilitate beneficiary transfers between regions, coordinating with military liaisons for smooth transitions.
- Adhere to URAC standards, TRICARE policies, and nationally recognized practice standards.
- Ability to cover various work shifts and work overtime as needed.
- Onsite work in a standard office environment or remote work with a secure, high-speed internet connection.
- Extensive computer use, including prolonged sitting, headset use, typing, and phone communication.
- Current, unrestricted Social Work licensure (BSW) in the state of residence.
- U.S. Citizenship.
- Ability to obtain a favorable Interim and final Department of Defense (DoD) background investigation.
- Minimum of two years’ experience in case management, care coordination, or discharge planning in healthcare or managed care settings.
- Experience in care or disease management with a managed care organization (MCO).
- Master’s degree in Social Work (MSW) and LCSW or LMSW licensure.
- Knowledge of government healthcare programs, including TRICARE and Medicare/Medicaid.
Technical Skills:
- Knowledge of TRICARE programs, managed care concepts, URAC DM standards, case management interventions, crisis intervention strategies, legal and regulatory requirements, and HIPAA regulations.
- Ability to positively influence and build group commitment.
- Systematic problem-solving with sound judgment.
- Effective task organization and priority management.
- Managing actions and deadlines in a high-volume environment.
- Critical thinking and commitment to achieving outcomes independently.
- Customer-focused behavior with strong listening and empathy skills.
- Resilience and adaptability in diverse situations.
- Proficiency in Microsoft Word, Outlook, Intranet, and departmental software.
- Ability to influence, adapt communication styles, and collaborate effectively.
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