Degreed Social Worker - Health Plan

Degreed Social Worker-Health Plan
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About this Role
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
Job details
$32.72 / hour
POLK COUNTY/HAINES CITY, Florida
New
Profession: Degreed Social Worker
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 11/10/2025
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Responsibilities
Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Required Qualifications
2+ years Field case management experience, ideally with Geriatric long-term care patients. (team handles members who are 65+)
High volume caseload experience
Long term care experience
Home health
Medicaid/Medicare exp
Experience with electronic medical records
Strong computer skills - MS office
Bachelor's Degree
Valid Driver's License
Bilingual in Spanish PREFERRED