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Position:Social Worker (Chicago)Position Summary:The Social Worker position in the Case Management department at Lumeris coordinates the socioeconomic and psychosocial needs and services of selected members across the continuum of care through the identification and arrangement of community resources and plan benefits. The Social Worker collaborates with an interdisciplinary team, members, and their caregivers to achieve optimal utilization and coordination of medical resources related to case management, disease management and discharge planning. The Social Worker provides support and/or intervention and assists members in understanding the implications and complexities of their current medical/social situation and/or overall personal care.Job Description:Role and Responsibilities
Coordinate psychosocial services for members identified as having special needs and assist the members with utilization of medical resources related to case management, disease management and discharge planningThrough needs assessments and health screens, identify psychosocial and economic barriers for accessing services and recommend appropriate resources to overcome barriersInteract with members, family, physician(s), case managers and other resources to determine appropriate action needed to address/support medical/psychosocial needsReview benefits options, research community resources, coordinate services, train/create behavioral routines and enable members to be active participants in their own healthcareParticipate in case conferences to strategize and develop member-specific care plansParticipate in activities to develop, review or revise new or existing medical management programs as directedIdentify and arrange community resources for assistance with psychosocial and/or socioeconomic problem resolutionMaintain appropriate documentation for all contacts and interventionsMaintain HIPAA standards and ensure confidentiality of protected health informationReport critical incidents and information regarding safety, elder abuse, and/or quality of care issues to include appropriate agencies (e.g. protective services as appropriate)Ensure compliance with all state and federal regulations and guidelines in day-to-day activitiesPerform special projects as assigned Experience, Qualifications, and Education
LCSW or MSW with licensure in Missouri and Illinois and eligible for licensure in other states as requiredMinimum of 2 years of clinical experienceExperience in a managed care environment preferredComputer proficiencyCommunicates effectively in person, by phone, and by written communicationAbility to work independently, handle multiple assignments, and prioritize workload*If you receive an offer of employment, you will be required to complete a pre-employment drug screen.
Lumeris is an EEO/AA employer M/F/V/D.
The hiring range for this position is:
$63,600.00-$84,300.00
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.