Bachelor Social Worker openings with a major health care company in the San Antonio TX area! Hiring ASAP! Apply with Silvana Manzella at A-Line for consideration!

Pay: $22 - $27 depending on experience

Schedule: Monday-Friday 8:00 am – 5:00 pm

• Primarily Remote. Might have to go into office (San Antonio) for meetings and to pick up flyers for members as well as an occasional field visit
• Must live in the San Antonio (Bexar county area)

Job Responsibilities:

• Telehealth/Face to Face Assessments as needed – annual and biannual.
• Review assessments and service plans – both vendor and internal assessments.
• Follow up on pending assessment findings, clarify diagnoses, follow up with request referrals.
• Follow up on hospital discharges.
• Medical necessity denials.
• Research community resources.
• 2065D approvals and denials.
• Update long term services and supports.
• Terminate long term services and supports and waiver service authorizations.
• Provide community resources.
• Instruct member on appeal process and level change.
• Initiate long term services and supports and acute services.
• Research complaints and provide updates to managers for complaint responses.
• Assist with escalations and member support center call backs.
• Reviews Consumer Directed Services program with members.
• Assist with clinical reviews and authorization corrections.
• Assist with Fair Hearings as needed.
• Dental, nursing, vision, verify service utilization, hearing, 90-day MHM, 28 day follow ups; verify all services have been started and follow up on all non DME identified needs.
• Send required referrals for new services/items identified except DME.

Requirements:

• Bachelors in Social Work or related field required
• 2+ years of experience managing and integrating the social/community needs of members
• LCSW preferred but not required

Why Apply:

• Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
• GREAT Hours!
• Competitive Pay Rate!

Apply to this posting for consideration with Silvana Manzella at A-Line!

Requirements:

• Bachelors in Social Work or related field required
• 2+ years of experience managing and integrating the social/community needs of members
• LCSW preferred but not required