Social Worker

Social Worker Profession: Social Worker Specialty: Staff Augmentation Duration: 13 weeks Shift: Day Hours per Shift: 12 hours Experience: Minimum Years of Experience required License: Active license to practice in the state Certifications: Relevant certifications as required Must-Have: Master's Degree in Social WorkExperience with developmental disabilities and complex medical or behavioral needsFamiliarity with standardized documentation procedures Description:This position reports within a Quality Management Unit and conducts quality of care investigations.Investigations are conducted pursuant to a contract aimed at ensuring member health and well-being.The role involves timely and thorough investigations for all member quality of care issues.Vendor-specific corrective action plans are placed utilizing a standardized process.Appropriate referrals are made to oversight and regulatory agencies as needed.Maintaining necessary documentation to support casework is essential.The position requires requesting appropriate documentation for quality-of-care investigations.Comprehensive case records must be maintained to support allegation reviews and substantiation levels.Cases and trend concerns are elevated appropriately to a supervisor.Critical thinking and decision-making skills are required.Technological skills, including database management and proficiency in Microsoft Office products, are necessary.The ability to produce professional technical reports and correspondence is expected.Oral and written communication skills are essential.Strong organizational and time management skills are required.Medical chart review competence is needed.Effective plans for corrective action must be developed based on critical analysis of problems.Clinicians will primarily work remotely, with occasional in-person office reports as business needs arise.Starting hours will be 40 hours per week, with assignments occurring between 8 AM and 8 PM.Members will predominantly be ages 0-18, necessitating knowledge of pediatric and adolescent development.All candidates should complete specific training and follow standardized review procedures upon hiring.Familiarity with relevant assessments is required, although training can be provided as needed. #J-18808-Ljbffr