Job title: Florida Blue Medicare Community Social Worker
Company: Florida Blue
Job description: JOB DESCRIPTION JOB SUMMARY Assists members manage their daily lives, understand and make difficult healthcare choices and obtain social services, such as health care and governmentassistance. Develop and implement care plans to assist members meet theirhealthcare goals. Work with internal and external resources to remove barriersto receiving care. ESSENTIAL FUNCTIONS – The essential functions listed represent the major duties of this role, additional duties may be assigned. – Identify psychosocial status, economic and physic al needs of members; assess patient’s support systems, available community resources and other factors to plan, develop, and implement an appropriate plan of care. (40%) – Serve as members’ point of contact as needed to provide education regarding benefits, network, network access and community and government agencies that are available to assist members when benefits are not available or exhausted (15%) – Assess member’s end of life planning and provide appropriate resources and referrals to assist members (5%) – Assist members obtain appropriate community resources, e.g. elder care, Medicare, Medicaid (10%) – Identify and implement continuous improvement opportunities (5%) – Collaborate with internal and external partners to remove barriers access to care (5%) – Coordinate care for members as appropriate based on care/treatment plan and benefit limitations. (5%) – Identify and refer members to appropriate care programs. (5%) – Provide consultation to case managers; maintain resource site (5%) – Operates as a member advocate utilizing skills that respect issues of cultural and ethnic diversity and equity for every patient and family. (5%) REQUIRED WORK EXPERIENCE 3+ years related work experience. Experience Details: Healthcare Industry andManaged Care, assisting with discharge planning, linking to communityresources, navigation of financial assistance programs, chronic illnessresources, etc. REQUIRED EDUCATION Related Bachelor’s degree required Social work ADDITIONAL REQUIREDQUALIFICATIONS Extensive knowledge of community resources Broad knowledge of healthcare industry Strong problem-solving skills Strong collaboration skills Ability to listen, ascertain needs, and determine appropriate action withindefined scope of authority. ADDITIONAL PREFERREDQUALIFICATIONS * Excellent computer skills * Masters Degree inSocial Work * Bi-lingualSpanish GENERAL PHYSICAL DEMANDS Sedentary work: Exertingup to 10 pounds of force occasionally to move objects. Jobs are sedentary iftraversing activities are required only occasionally. We are an Equal Opportunity Employer/Protected Veteran/Disabled. Florida Blue is an Equal Opportunity Employer – Protected Veteran/Disabled
Location: West Palm Beach, FL
Job date: Thu, 26 Nov 2020 06:08:47 GMT
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