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Insurance Reviewer Social Worker Jobs (NOW HIRING)

Social Worker

Oakland, CA ยท On-site

$37.97 - $56.95/hr

Review historical information, including requisitions for prior medical records; make an effort to ... Valid California driver's license, acceptable driving record and insurance with access to reliable ...

Supervision means face to face case review and consultation between one supervisor and one supervisee until the supervisee obtains Licensed Clinical Social Worker in accordance with the State of ...

The clinical social worker participates in the sanctuary model of care to insure trauma-sensitivity ... Participates in case review meetings, service plan reviews, interdisciplinary conferences ...

Social Worker

Oakland, CA

$37.97 - $56.95/hr

Review historical information, including requisitions for prior medical records; make an effort to ... Valid California driver's license, acceptable driving record and insurance with access to reliable ...

Overview The Social Worker at Hampstead Hospital provides therapeutic and case management services ... Perform level-of-care assessments and related pre-certification reviews with insurance companies.

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Insurance Reviewer Social Worker information

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How much do insurance reviewer social worker jobs pay per year?

As of Sep 13, 2026, the average yearly pay for insurance reviewer social worker in the United States is $76,266.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $91,500.00 per year, depending on experience, location, and employer.

What are popular job titles related to Insurance Reviewer Social Worker jobs?

For Insurance Reviewer Social Worker jobs, the most frequently searched job titles are:

Infographic showing various Insurance Reviewer Social Worker job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $76,266 per year, or $36.7 per hour.

Social Worker

Oakland, CA โ€ข On-site

Center for Elders' Independence
Health Care and Social Assistanceย โ€ขย 201 - 500 employees

$37.97 - $56.95/hr

Full-time

Re-posted 22 days ago


Job description


Social Worker

The Center for Eldersโ€™ Independence is a PACE (Program of All-Inclusive Care for the elderly) organization (PO) that uses an interdisciplinary team approach for care planning and implementing purposeful high quality, affordable, and integrated health care services to the elderly.  Our elderly meet PACE requirements as prescribed by CMS and are referred to as participants.  Our PO includes Adult Day Health Centers and primary care clinics, promoting participant autonomy, quality of life and the ability for individuals to live in their communities.

The Position: Under the general supervision of the Social Work Supervisor, the Social Worker is a mental health professional, helping the frail and elderly PACE participants find solutions to a wide range of social problems, serves as an integral member of an Interdisciplinary Team (IDT) and is responsible for performing psychosocial assessments, developing and implementing plans of care, and facilitating communication between the participant, family and CEI staff.

The hourly rate for the Social Worker role at Center for Elders Independence is $37.97 to $56.95 per hour. Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEIโ€™s annual compensation review and established compensation practices.

Duties and Responsibilities:

  • Serves as an interdisciplinary team (IDT) member responsible for developing and implementing a comprehensive, integrated plan of care, monitors progress toward objectives by evaluating behavioral adjustments and communicates participant changes to team members.
  • Participates in regularly scheduled behavioral management meetings with other mental health professionals.
  • Attend ongoing psychosocial rounds with consulting psychiatrist; presents cases as indicated by IDT.
  • Completes initial assessments, re-assessments, and care plan updates for participants while continually evaluating the participants' social service needs and their families.
  • Complete chart notes accurately and timely.
  • Makes referrals to community resources, including those necessary for financial management, benefit eligibility, and to address related participant needs. 
  • Review historical information, including requisitions for prior medical records; make an effort to resend for these if not in the chart at the time of initial psychosocial assessment, including requisition of prior records and information.
  • Manages assigned caseload; prepares narrative and other reports, documents, and correspondence regarding client status; documents case files.
  • Responds to, investigates, and reports complaints of elder abuse.
  • Conducts 30-day conferences and annual reviews, and as-needed family and/or caregiver conferences.
  • Develops and maintains working relationships with other agencies, such as the Department of Social Services, psychiatric facilities, hospitals, social agencies, and may participate in hospital and/or SNF discharge planning.
  • Maintains the confidentiality of all company procedures, results and information about participants, clients or families in conformance with Health Insurance Portability and Accountability (HIPPAA) principles. 
  • Makes home visits, hospitals, and travels to other places to meet with participants and service providers.
  • Performs related duties as assigned. 

Qualifications:

  • Masterโ€™s degree in social work from an accredited school of social work 
  • One year experience working with a frail and/or elderly population preferred.
  • Demonstrated ability to work in a multicultural and multidisciplinary team environment.
  • Ability to work with minimal supervision.
  • Excellent oral and verbal communication and meeting facilitation skills.
  • Experience working with severe mental illness is desirable.
  • Bilingual ability preferred (Spanish, Korean, Cantonese, and/or Mandarin).
  • Valid California driver's license, acceptable driving record and insurance with access to reliable transportation.
  • Current CPR and First Aid

The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required.  CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program.  All employees are expected to perform their duties within their ability as required by the job and/or as requested by management.