Job Information
Lumeris Clinical Social Worker (Hybrid) in Illinois
In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.
Position:
Clinical Social Worker (Hybrid)
Position Summary:
The Social Worker position in the Case Management department at Lumeris coordinates the socioeconomic and psychosocial needs and services of selected members across the continuum of care through the identification and arrangement of community resources and plan benefits. The Social Worker collaborates with an interdisciplinary team, members, and their caregivers to achieve optimal utilization and coordination of medical resources related to case management, disease management and discharge planning. The Social Worker provides support and/or intervention and assists members in understanding the implications and complexities of their current medical/social situation and/or overall personal care.
Job Description:
Role and Responsibilities
Coordinate psychosocial services for members identified as having special needs and assist the members with utilization of medical resources related to case management, disease management and discharge planning
Through needs assessments and health screens, identify psychosocial and economic barriers for accessing services and recommend appropriate resources to overcome barriers
Interact with members, family, physician(s), case managers and other resources to determine appropriate action needed to address/support medical/psychosocial needs
Review benefits options, research community resources, coordinate services, train/create behavioral routines and enable members to be active participants in their own healthcare
Participate in case conferences to strategize and develop member-specific care plans
Participate in activities to develop, review or revise new or existing medical management programs as directed
Identify and arrange community resources for assistance with psychosocial and/or socioeconomic problem resolution
Maintain appropriate documentation for all contacts and interventions
Maintain HIPAA standards and ensure confidentiality of protected health information
Report critical incidents and information regarding safety, elder abuse, and/or quality of care issues to include appropriate agencies (e.g. protective services as appropriate)
Ensure compliance with all state and federal regulations and guidelines in day-to-day activities
Perform special projects as assigned
Experience, Qualifications, and Education
LCSW, MSW with licensure in Missouri and Illinois and eligible for licensure in other states as required
Minimum of 2 years of clinical experience
Experience in a managed care environment preferred
Computer proficiency
Communicates effectively in person, by phone, and by written communication
Ability to work independently, handle multiple assignments, and prioritize workload
Lumeris is an EEO/AA employer M/F/V/D.
The hiring range for this position is:
$63,600.00-$84,300.00
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page (https://www.lumeris.com/healthcare-consulting-careers/) .
Member Facing Position:
Yes- Member or Patient Facing Position
Location:
Illinois, Wisconsin
Time Type:
Full time
Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
Join Our Growing Team!
Lumeris is bringing common sense back to the business of healthcare by empowering value-based care. We create the partnerships and perspectives that are making healthcare safer, more affordable and more personalized for providers, patients and payers alike.
We were founded on the belief that it should be easier to provide the right care, at the right time, at the right cost. Our model is bringing that belief to life, improving outcomes and empowering financial sustainability along the way.
Why Join Lumeris?
At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.