The Medical Social Worker develops and manages individualized intervention plans for members referred to the Case Management program, with the goal of promoting optimal, achievable outcomes in the most cost-effective and appropriate manner. Working with the interdisciplinary Case Management team, the position helps facilitate quality outcomes across the continuum by educating members, providers, external agencies, and internal departments, and by assisting members in navigating the managed care system. The role also participates in Quality Improvement efforts to continually evaluate the Case Management Program’s effectiveness and its quality-driven, cost-effective goals and outcomes for Alliance members. This is a full-time, 40-hour-per-week temporary assignment, estimated to run from November 2, 2026, to December 31, 2026; the dates and assignment length may change depending on business needs. The employee would work at the Alliance but would be employed by a temporary employment agency. The position is in a hybrid work environment. Interviews are expected to take place remotely via Microsoft Teams. Attendance at quarterly company-wide events or department meetings may be expected, and in-office or in-community presence may be required depending on business need. The position reports to the Complex Case Management Supervisor - Pediatrics (RN).
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Job Type
Full-time
Career Level
Mid Level