Performs comprehensive evaluations and documents findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid. Services (CMS) Performs patient assessments telephonically, virtually, or in the patients home as needed Understands and plans to assure services provided work within the boundaries of the patients plan eligibility. Coordinates identified patients needs utilizing federal, state, and local community resources,as availa... more details
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
The CareCoach Connect Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, Social Determinants of Health and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. The social worker acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member.
Primary Responsibilities:
- Performs comprehensive evaluations and documents findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and MedicaidServices (CMS)
- Performs patient assessments telephonically, virtually, or in the patients home as needed
- Understands and plans to assure services provided work within the boundaries of the patients plan eligibility. Coordinates identified patients needs utilizing federal, state, and local community resources,as available
- Coordinates with external and internal teams to minimize obstacles and increase in patient and provider satisfaction
- Actively participates in staff and Interdisciplinary Team (IDT) meetings
- Adheres to organizational and departmental policies and procedures
- Maintains a high level of professionalism and adheres to the WellMed Core Values
- Assumes responsibility for personal and professional development
- Ensures licensure, certifications, and annual training are maintained and compliant
- Maintains knowledge of current health plan benefits
- Conducts advanced care discussions with patients and their families and properlydocuments their wishes in the electronic medical record
- Exhibits professionalism and is courteous with all patients, physicians and co-workers
- Follows CareCoach Connect providers orders regarding the scope and frequency of services needed based on acuity and patient/family needs
- Maintains a patient case load, daily visits and point of care documentation levels as perstandards
- Documents in the electronic health record progress toward established goals as per standards
- Performs other duties as assigned
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Bachelor of Social Work with 3+ years of experience beyond the required years of experience
- Active TX social worker license
- Current BLS certification or must obtain certification within 30 days of employment hire date?
- 3+ years of social work experience in a health care environment
- Demonstrated excellent oral and written communications skills
- Solid organizational skills
- Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
- Ability to prioritize, plan, and handle multiple tasks/demands simultaneously
- Ability to travel locally up to 75% of the time
- Have reliable transportation for daily travel to various locations as assigned?
- Have a valid drivers license within the state of work
- This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease
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Preferred Qualifications:
- Master of Social Work with licensure (LMSW or LCSW or LBSW)
- Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding
- Experience working with geriatric and behavioral and mental health patient populations
- Long Term Care experience?
- Bilingual (English/Spanish) language proficiency
Physical & Mental Requirements:
- Ability to lift up to 50 pounds
- Ability to push or pull heavy objects using up to 100 pounds of force
- Ability to stand for extended periods of time
- Ability to use fine motor skills to operate equipment and/or machinery
- Ability to receive and comprehend instructions verbally and/or in writing
- Ability to use logical reasoning for simple and complex problem solving
- Occasionally requires exposure to communicable diseases or bodily fluids
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
