Social Work Care Manager

Oscar, Phoenix Area, Arizona

A better kind of health insurance company

What is the position?

We are looking for a Social Work Care Manager to help care for Oscars’  members.

First and foremost, this job is about being an amazing social worker. This includes being excited about creative ways to engage members and provide ongoing guidance and support.

The social worker will work with Oscar’s Concierge Team and will collaborate closely with nurse partners to help support Oscar members.  

Deliverables: What you have to achieve

  • Care Planning
    • In coordination with nursing develop an outcome-based plan of care, based on the member’s input, with anticipated targeted dates for completion
    • Identify and addresses biopsychosocial needs of the members and family
    • Communicate and document each member’s plan of care in an organized, goal oriented manner
    • Maintain a comprehensive list of available wellness and other community programs available to members and facilitate referral of member to resources
    • Assist members with end of life planning
  • Member Engagement
    • Be available (during work hours) to take incoming phone calls from assigned members
    • Outreach members to identify and help solve for barriers that may be affecting their care.
    • Have knowledge of community resources and how to leverage them to assist members
  • Care Tracking
    • Continuously coordinates, monitors, tracks and evaluates all care and services rendered to ensure that quality care is being delivered in the most appropriate setting
  • Care Transitions
    • Manages transition of care, ensuring that the Plan of Care moves with the member and updates/modifies the care plan as the member’s health status changes
    • Responsible for the coordination of post-discharge clinic appointments, medication reconciliation, PCP and specialist visits
    • Facilitate transition of care to medicare or medicaid when appropriate
  • Resource Connection
    • Maintain a comprehensive list of available wellness and other community programs available to members and facilitate referral of member to resources
    • Have knowledge of community resources and how to leverage them to assist members.
    • Facilitate transition of care to Medicare or Medicaid when appropriate
    • Assist with applications for disability and resources as appropriate
    • Share resource expertise with team members and serve as social work subject matter expert for team

Winning factors: What leads to success

Must-have qualifications and expertise include:

  • Social Work degree required from a school approved by the Council on Social Work Education
  • LMSW/LSW Preferred
  • At least 2 years of medical social work experience
  • Familiar with medical case management and healthcare

We think it will make a big (positive) difference if you...

  • First and foremost, are passionate about helping and supporting patients
  • Excited to practice social work in unconventional ways
  • Are technologically savvy and excited about how technology can change how we deliver care
  • Want to practice in a team-based setting where other clinical and non-clinical team members collaborate to make decisions and care for patients
  • Get excited about setting up new systems and thinking outside the box
  • Are fluent in Spanish

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

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 ([email protected]) to make the need for an accommodation known.

Pay Transparency Policy: Oscar's Pay Transparency Policy ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.


About Oscar

Founded in 2012, Oscar is probably the last thing you would expect from a technology startup – a seemingly old-fashioned healthcare insurance provider. The company provides clients with the kind of clarity and simplicity we have come to expect from an e-commerce site. And, of course, they're hiring.

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Want to learn more about Oscar? Visit Oscar's website.