Pacer Staffing LLC

Licensed Master Social Worker

Pacer Staffing LLC United States
Pacer Staffing LLC

Licensed Master Social Worker

Pacer Staffing LLC United States
2 months ago 26 applicants

See who Pacer Staffing LLC has hired for this role

Job Title: Licensed Master Social Worker

Duration: 6 months

Shift: Monday - Friday 8:00am – 5:00pm

Location - McAllen TX-will get training in the office for 1-2 weeks.

  • Must have License master social worker**
  • Must have degree in Social Worker**

Responsibilities

  • Review assessments & service plans (vendor or internal assessments)
  • Follow up on pending assessment findings, clarify DX, reported abnormal, requested referrals, etc.
  • Hospital discharges follow up.
  • MN denials
  • Research community resources.
  • 2065D approval/denials
  • Update LTSS
  • Terminate LTSS waiver service authorizations.
  • Provide community resources.
  • Instruct members on appeal process and level change.
  • ISP updates (internal), 1700-3 obtain verbal approval and update form, update 1700-2 with waiver items.
  • Initiate LTSS/acute services (create authorization request template)
  • Research complaints and provide updates to managers for complaint responses.
  • Escalations
  • MSC call backs.
  • CDS review
  • Acute UM denials to include PT denial, request for more information.
  • Create clinical reviews/IRTs.
  • CIC, CIS without MNLOC completion.
  • Fair hearing assistance is needed.
  • Determine MN for post assessment identified items.
  • Dental, nursing, vision, verify service utilization, hearing, 90-day MHM, 28 day follow ups.
  • Verify all services have been started.
  • Follow up on all non DME identified needs.
  • Send required referrals for new services/items identified except DME.
  • Submit DME tasks for newly identified DME items.

Describe the performance expectations/metrics for this individual and their team:

  • Review monthly audits and weekly calls to ensure we are meeting contractual requirements.

Tell Me About What Their First Day Looks Like

  • Will call the employee to make sure they are signed in. They will complete new hire training.

What previous job titles or background work will be in this role?

  • Service Coordinator

What makes your team/department/culture special that you would like candidates to know?

  • Great collaboration amongst team

Required Skills/Experience

  • Excellent computer skills
  • Proficient in Word, Excel, and PowerPoint

Education Requirement

  • BS-Social Worker

  • Seniority level

    Entry level

  • Employment type

    Contract

  • Job function

    Other

  • Industries

    Staffing and Recruiting

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