The social worker will collaborate with case managers and physicians to assess, develop, and implement care plans that optimize member health. They are responsible for identifying community resources, providing counseling, and educating members on entitlement programs and legal issues.
The Team Leader is responsible for supervising staff, managing departmental operations, and ensuring efficient utilization management processes. They collaborate with medical directors and clinical teams to develop treatment plans while monitoring quality metrics and regulatory compliance.
The Care Manager RN leads a multidisciplinary team to deliver holistic, person-centric care management to a diverse health plan population. They assess member needs, develop individualized care plans, and coordinate resources to optimize health outcomes across the care continuum.
