Pacer Staffing LLC

Program Specialist (Social Worker)

Pacer Staffing LLC United States
Pacer Staffing LLC

Program Specialist (Social Worker)

Pacer Staffing LLC United States
2 months ago 53 applicants

See who Pacer Staffing LLC has hired for this role

Job Title: Program Specialist 1- Social Worker

Location: Remote-NC

Duration: 10 months (Possible extension)

Shift: Mon-Fri 8 am- 5 pm 8a – 5p M-F 9a – 6p Saturdays (alternating – approximately every other weekend) ***includes holidays

Job Summary

  • Conduct screening and risk assessment interventions per program guidelines.
  • Assist with non-medical aspects of the member’s care, including referrals to community resources.
  • Walk me through the day-to-day responsibilities of this the role and a description of the project (
  • Healthy Opportunities (HOP) Eligibility & Enrollments, Benefits Eligibility Screenings, Cold Calls, Assistance in phone queue.
  • Productivity Expectations:
  • HOP-related tasks and correlating average processing times. Required to meet/exceed the minimum 6.5 hrs. of daily completed work.

Task: Average Processing Time

Assessments Eligibility/Enrollments Service Authorizations/Disenrollments 2-day follow-ups

Productivity logs should reflect 6.5 hrs. per day of completed work.

For Example

 Task Calculation HH:MM

  • (8) - Eligibility/Enrollments 8x30/60 4
  • (6) - Assessments 6x20/60 2
  • (6) - 2-day follow-ups 6x5/60 0.5
  • Total 6.5

Job Responsibilities

  • Healthy Opportunities (HOP) Eligibility & Enrollments, Benefits Eligibility Screenings, Cold Calls, Assistance in phone queue.
  • 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 members, member’s family and managing physician.
  • Development of plan specific literature and education materials in conjunction with medical director and corporate oversight
  • Minimum Qualification:
  • Bachelor/master’s in social work.
  • Proficient with excel/word.
  • Experienced MSW/SW in a healthcare/community setting.
  • Community work, experience with closing SDoH needs.

  • Seniority level

    Associate

  • Employment type

    Full-time

  • Job function

    Other

  • Industries

    Staffing and Recruiting

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