Social Worker Job at Artech L.L.C., Pleasanton, CA

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  • Artech L.L.C.
  • Pleasanton, CA

Job Description

Hello,

I hope you are doing well.

Please review the job description and let me know if you are available and interested in the below position.

Job Title: Social Worker Case Manager

Location: Pasadena, CA- The first day will be onsite training. Once training is complete, worker will be working fully remote.

Duration: 3-6 + Months Contract

Job Description:

  • Plans, develops, assesses, and evaluates care provided to members.
  • In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/treatment plans.
  • Recommends alternative levels of care and ensures compliance with federal, state, and local requirements.
  • Develops and maintains case management policies and procedures.
  • Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care.
  • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.
  • Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement.
  • Arranges and monitors follow-up appointments
  • Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy).
  • Makes referrals to appropriate community services and outside providers.
  • Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.
  • Develops and collects data; trends utilization of health care resources.
  • Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies.
  • Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.
  • Acts as liaison for outside agencies, non-plan facilities, and outside providers.
  • Coordinates repatriation of patients and monitors their quality of care.

Job Tags

Contract work, Work at office, Local area, Remote work,

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