Program Specialist (Social Worker)
Program Specialist (Social Worker)
Pacer Staffing LLC
United States
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
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
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.
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
- 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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