BSW Social Worker

San Antonio, TX

Posted: 01/25/2023 Category: Social Worker Job Number: 116799

Job Description

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!

Job Requirements

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
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