Case Management Social Worker

Hi, we're Oscar. We're hiring a Case Management Social Worker to join our Clinical Concierge Team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About The Role

The Social Worker educates members on improving health outcomes, assesses Social Determinants of Health (SDOH) and community resource needs, participates in process improvement and other pilot programs as they arise, and works with other Oscar teams to ensure exceptional care for our members.

You will report into our Case Management Supervisor.

Work Location

This is a remote position, open to candidates who reside in: Arizona, Florida, Arizona and Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency

The base pay for this role is: $26.87- $35.27per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities

Actively assist in the coordination of care, in person or remote, across a variety of settings (inpatient, outpatient, post acute, ER, home care, etc. ) while maintaining strict confidentiality and the highest level of professionalism.

Actively engage with members and providers, in person or remote, undergoing difficult health challenges, partner with them to develop unique care plans, and serve as their guide as they navigate the healthcare system, with the ultimate goal of creating an excellent experience while improving health outcomes.

Assess and support SDOH needs of our members, and educate members on resources for community support programs.

Participate in crisis intervention for members.

Serve as a member advocate and assist with problem solving, as well as addressing any barriers to care or compliance with the care plan.

Communicate with members in person, via phone and/or secure messaging to provide education on health conditions, new medications, and procedures.

Compliance with all applicable laws and regulations.

Other duties as assigned.

Requirements

2+ years of Medical social work experience in a healthcare facility setting. (Ex. Hospital, SNF, Home Health, Hospice, etc.)

1+ years experience Care Coordination and Navigation

Masters in Social Work (MSW) from a graduate of a Nationally Accredited School approved by the Council on Social Work Education.

Bonus Points

Licensed Master Social Worker or Licensed Clinical Social Worker

Behavioral Health Experience

Case Management experience

Complex Case Management certification

Bilingual skills (Spanish)

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud

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At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency

Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.

Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (ai)

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Reasonable Accommodation

Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

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