Program Specialist I - Social WorkDurham, North Carolina Apply Now Job ID 1164357 Category Medical Management Organization Carolina Complete Health Schedule Full-time
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
For Michigan Complete Health: Home visits required
Conduct screening and risk assessment interventions per program guidelines. Assist with 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) preferred.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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