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WVU Medicine

SNP Social Worker – Peak

WVU Medicine

SNP Social Worker integral to health plan’s medical management team. Collaborating on member care, ensuring compliance and connecting to resources while improving health statuses.

Posted 7/10/2026full-timeRemote • Maryland, Ohio, Pennsylvania, Virginia, West Virginia • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in care management, including the development of individualized care plans and compliance with CMS SNP Model of Care expectations. Proficient in connecting members to community resources and collaborating with interdisciplinary care teams.

Highest-signal resume keywords
Masters Degree In Social WorkCurrent Social Worker LicensureTwo Years Of Clinical ExperienceLICSW CertificationManagement Of Medicare And Medicaid Populations

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Care Management InterventionsIndividualized Care PlansDocumentation In Case ManagementBehavioral Health ExperienceCompliance With CMS Standards
Soft Skills
CollaborationCommunication
Certifications & Qualifications
LICSW Certification
Industry Keywords
MedicaidMedicareCommunity ResourcesInterdisciplinary Care TeamSNP Model Of Care

About the role

Key responsibilities & impact
  • Coordinate benefits with MA and Medicaid
  • Connect members to community resources
  • Participate in activities related to care management program
  • Ensure compliance with CMS SNP Model of Care expectations
  • Perform psychological, social and economic care management interventions
  • Assist in the development of individualized care plans
  • Document in the members’ case accurately and timely
  • Collaborate with the interdisciplinary care team
  • Maintain knowledge of community agencies and resources

Requirements

What you’ll need
  • Masters Degree in Social Work or related field
  • Current social worker licensure for applicable service area (WV, PA, OH, MD)
  • Two (2) years of clinical experience
  • LICSW certification in West Virginia preferred
  • Management of Medicare and/or Medicaid populations preferred
  • Two (2) years of Behavioral Health experience preferred

Benefits

Comp & perks
  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible working hours
  • Professional development opportunities