Job Title

POSITION SUMMARY/RESPONSIBILITIES The Social Worker Service Coordinator (SW-SC) provides STAR+PLUS Members with initial and ongoing assistance by identifying, selecting, obtaining, coordinating, and using Covered Services and other supports to enhance the Members well-being, independence, integration in the community, and potential for productivity. Aids patients and their families with personal and environmental difficulties, which predispose illness to interfere with obtaining maximum benefits from medical care.  Works with the Service Coordination team to provide a holistic evaluation of the Members individual dynamics, needs, and preferences while providing education and health-related information to the Member, the representative, and the Member’s Support Network. Responsible for the coordination of STAR+PLUS Members covered and non-capitated services, including both acute and Long Term Services and Supports (LTSS), while meeting the Members physical, behavioral, functional, and psychosocial needs. Complies with Community First Health Plans, Inc. (Community First) policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, patients, and guests. EDUCATION/EXPERIENCE A minimum of three years of social work experience is preferred. Two years’ experience in a health care setting is preferred. Two years’ experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Three years of experience with STAR+PLUS, Nursing Facility, or LTSS experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Masters degree in social work from a school accredited by the Council on Social Work Education is required.  LICENSURE Current unrestricted state licensure from the Texas State Board of Social Work Examiners is required.