Degreed Social Worker - Health Plan

Degreed Social Worker-Health Plan

Job ID #1946966

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About this Role

Provide comprehensive healthcare management services to facilitate appropriate treatment, effectively manage healthcare costs, and improve healthcare program and operational efficiency involving clinical issues.

Job details

$40.94 / hour

Columbus, Ohio

New

Profession: Degreed Social Worker

Facility Type: ?

Specialty: Health Plan

Division: MedFi

Start Date: 09/29/2025

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Responsibilities

Determine medical necessity and appropriateness of services

Facilitate optimal health outcomes for members

Identify and follow up on continuous quality and compliance opportunities, including corrective actions if necessary

Required Qualifications

Master's Degree in Social Work (required)

Minimum 5 years of relevant healthcare/clinical experience

Strong knowledge of medical necessity and appropriateness determinations