Managed Care II / Social Worker

Managed Care II / Social Worker

Job Details

Professional Discipline : Registered Nurse

Specialty : Utilization Review

Employment Type : Full Time

City : Columbia

State : SC

Pay Range : Job Description :

InGenesis is currently seeking a Social Worker Case Manager to review and evaluate medical or behavioral eligibility regarding benefits. In this role, you will assess and monitor medical necessity, options and services required to support members in managing their health.

This is a REMOTE opportunity for candidates living in SC. Apply today and we'll reach out to answer any questions you may have.

Job Duties

• Provide telephonic support for members with chronic conditions.
• Provide active case management (assess needs, develop action plans, monitor services).
• Ensure coverage for appropriate services.
• Make referrals to appropriate staff
• Participate in data collection and entry.
• Ensure accurate documentation of clinical information.
• Perform other duties as assigned.

Minimum Qualifications

EEO Statement :

InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.

InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. Please visit our website at https : / / www.ingenesis.com / careers / site-accommodations for more information

To learn more about your rights, please refer to the Know Your Rights : Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC).

Company Statement :

With decades of experience, InGenesis has grown into one of North America's most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.