Program Specialist I - Social Work (REMOTE AVAILABLE)

Envolve Pharmacy Solutions

null

United States

Customer Service / Call Center
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose :

Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member’s care, including referrals to community resources.

MUST HAVE MICHIGAN STATE LICENSURE

  • 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
  • Our Comprehensive Benefits Package :

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
  • Competitive pay
  • Paid Time Off including paid holidays
  • Health insurance coverage for you and dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development
  • Education/Experience :

  • 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.
  • License/Certification :
    Valid driver’s license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.



    Program Specialist I - Social Work (REMOTE AVAILABLE)

    Envolve Pharmacy Solutions

    null

    United States

    Customer Service / Call Center

    (No Timezone Provided)

    You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

    Position Purpose :

    Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member’s care, including referrals to community resources.

    MUST HAVE MICHIGAN STATE LICENSURE

  • 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
  • Our Comprehensive Benefits Package :

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
  • Competitive pay
  • Paid Time Off including paid holidays
  • Health insurance coverage for you and dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development
  • Education/Experience :

  • 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.
  • License/Certification :
    Valid driver’s license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.