Medical/Social Services Consultant II
Medical/Social Services Consultant II
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Job Description
Introduction
Make a Difference with DHSS
Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being fostering self-sufficiency and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas.
We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession.
For more information please visit today!
Summary Statement
Essential Functions
- Manages cases over the continuum of a healthcare delivery system for clients with complex chronic and specialized physiological medical conditions. Facilitates access to medical and social service resources across public private and community sectors.
- Collaborates with health care providers services programs and insurance entities to develop tailored service plans and interventions. Integrates care and communication between stakeholders to ensure optimal health and social outcomes.
- Navigates and consults on the intersection of services authorizations and payments between the clients providers insurance programs and/or Managed Care Organizations. Works with providers and insurance entities to obtain pre-authorizations and referrals.
- Schedules and attends multidisciplinary evaluations and assessments. Facilitates and participates in discharge and transition planning.
- Formally responds to casework inquiries and investigates complaints assessing services or eligibility against legal entitlements or contracts.
- Provides subject matter expertise through outreach and education to program staff community members providers and other stakeholders through special community events or health education and preventative services. Advocates for community health and wellness.
- Maintains and tracks service eligibility and referral data sets manages data for reporting and program planning. Coordinates and allocates funding sources for special program eligibility.
- May support emergency preparedness and response efforts during pandemics or natural disasters and/or intervene in facilitating care for clients in health crisis. May provide home visits and/or virtual appointments.
- Performs other related duties as required.
Job Requirements
JOB REQUIREMENTS Medical/Social Work Consultant II
Applicants must have education training and/or experience demonstrating competence in each of the following areas:
- Possession of a Bachelors degree or higher in Health Behavioral or Social Science or related field.
- Two years experience in case management such as assessing planning developing implementing monitoring and evaluating options and services to meet an individuals human service needs.
- Two years experience in making recommendations as part of a clients service plan such as clinical treatment counseling or determining eligibility for health or human services/benefits.
- Two years experience inclient healthcare resource coordination and support.
- Six months experience in interpreting laws rules regulations standards policies and procedures.
- Six months experience in narrative report writing.
Conditions of Hire
Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to ourJob Seeker Resources.
DHSS does not provide employment-based sponsorship.
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Benefits
To learn more about the comprehensive benefit package please visit our website at Process
The application and supplemental questionnaire are evaluated based upon a rating of your education training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment job title and job duties. For education and training list name of educational provider training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment education and training history as it relates to the job requirements.
Once you have submitted your application on-line all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the My Applications tab .
Accommodations
Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling or by visiting . You may also call or email for additional applicant services support.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression.
Required Experience:
Contract
Employment Type
Full-Time
Key Skills
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