Licensed Social Worker - Contract at Carewell

, , United States -

Full Time

Start Date

Immediate

Expiry Date

06 Apr, 26

Salary

0.0

Posted On

06 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medicare Navigation, Billing Advocacy, Care Coordination, Financial Advocacy, Caregiver Support, Resource Connection, Negotiation Skills, CRM Software, Case Management, Video Consultations, Social Work, Project Management, Communication Skills, Problem Solving, Ethics, Systems-Level Thinking

Industry

Retail

Description

Are you an impact-driven problem solver who is passionate about making a difference in the lives of others while contributing to a successful business? Join Carewell and be a part of a team that creates impactful solutions for caregivers and their unique challenges. We're looking for hardworking individuals committed to raising the bar and striving for impact, scalability, and simplicity. Build your career with Carewell, a category-defining business dedicated to making caregiving easier. Contract Role Overview Carewell is looking for a Licensed Social Worker to serve as the primary logistical architect for patients and their family caregivers. Your mission is to navigate the complexities of the Medicare system to ensure patients receive seamless, cost-effective, and well-coordinated care. You will not perform clinical diagnoses or therapy; instead, you will act as a high-level project manager for the patient’s health journey, managing everything from specialist synchronization to medication cost-containment. What You’ll Do Medicare Navigation: Provide expert guidance on Medicare, benefits, and enrollment logistics. Billing & Insurance Advocacy: Review Medicare Summary Notices (MSNs) and Explanation of Benefits (EOBs) for errors. File appeals for denied services and resolve billing disputes with providers. Care Coordination & Logistics: Schedule and manage specialist visits, telehealth setups, and transportation logistics, and ensure that records are shared between offices to prevent redundant testing. Financial Advocacy: Identifying medical billing errors, negotiating costs, and finding pharmaceutical assistance programs to reduce out-of-pocket medication expenses. Caregiver Support: Act as a single point of contact for the family, providing updates and educational resources to help them make informed decisions without the stress of navigating the red tape themselves. Resource Connection: Identify and vet non-medical community resources, such as specialized transportation, meal delivery (e.g., Meals on Wheels), and respite care for families. What You’ll Need Experience: A minimum of two years experience directly working in a non-clinical social worker environment, specifically within care coordination. Licensure: Active Social Work license (LSW, LMSW, or equivalent). While the role is non-clinical, a social work background is required for systems-level thinking and ethics. Subject Matter Expertise: Deep, verifiable knowledge of Medicare regulations, Medigap, and the nuances of prescription coverage. Technical Proficiency: Ability to manage complex cases via CRM/Case Management software and conduct high-quality video consultations. Skills: Exceptional negotiation skills (for insurance/billing disputes) and the ability to translate "doctor-speak" into actionable plans for families. About Carewell Carewell is a category-defining business that is dedicated to providing the most trusted and reputable retail source for caregiving products. Our vast selection of expert-vetted products includes incontinence supplies, wound care, nutrition, mobility aids, and more, all available at the best prices with fast, reliable shipping. We are proud to have been recognized as one of the fastest-growing companies in the US, ranked on the Inc. 5000, and named one of the most customer-centric companies in the world by Forbes in 2022. At Carewell, we understand the importance of caregiving, and we strive to provide the highest quality products to help caregivers provide the best care possible for their loved ones. As the number of older adults in the US grows, the need for caregiving solutions will only increase. By joining Carewell, you will have the opportunity to work in a space that is constantly evolving, with new challenges and opportunities for growth. We are committed to being architects of our own success, always striving to improve our teams, partnerships, and solutions to ensure impact, scalability, and simplicity. As a member of our team, you will have the opportunity to collaborate with like-minded individuals, using customer insights, data, research, and feedback to make decisions and create the most effective solutions. If you are ready to join a team of dedicated individuals who are committed to making a difference in the world, Carewell is the place for you. Learn more about us in the Carewell Newsroom.

Responsibilities

The Licensed Social Worker will navigate the complexities of the Medicare system to ensure patients receive seamless and well-coordinated care. Responsibilities include providing expert guidance on Medicare, managing specialist visits, and acting as a point of contact for family caregivers.