- "Support the overall improvement of member's health status in collaboration with the case managers and physicians by identifying and referring members to community resources, counseling and/or support services.
- Educate patients about entitlement programs, legal issues or other services relevant to social work practice skills and knowledge.
- Develop, coordinate and evaluate a social worker assessment for identified members.
- Consult and coordinate with the case manager and physician to identify member issues and develop a plan to resolve the issues
- Assess the member's progress to social work intervention and community services provided through on site visits and POD review sessions upon invitation
- Assist the Case Manager with psychosocial needs assessment and identification of appropriate resources.
- Identify and refer members to community resources, counseling, and/or support for the member and/or authorized representative, as needed
- Document all activities as appropriate, including but not limited to member assessment, communication with case managers, PCP or issues related to guardianship, abuse/neglect.
Educate the member and/or authorized representative about entitlement programs (i.e., Medicaid, Social Security), legal issues (i.e. guardianship, advanced directives) and assisting in the application process as needed
- Assist the member and/or authorized representative with long-term care planning and of end-of-life decisions and options as needed
- Provide member support as needed throughout hospice period.
- Provide member receiving hospice services with information regarding appropriate community resources.
- Travel may be required.
- This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
- Master's Degree in Social Work required. Current unrestricted Licensed Master's Social Worker or Limited License in Psychology in the State of Michigan is required.
- Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.
- Minimum of five (5) years of board medical social work experience required. Minimum of two (2) year to be in home health care and/or medical case management preferred
- Knowledge of clinical programs and P&P, HIPAA regulations and guidelines, American Disability Act, URAC standards (CM SW only) and clinical ethics
- Motivational interviewing skills as well as experience in performing assessments and interventions
- Knowledge of Medical Policy, CM and DM principles and alternate levels of care
- Knowledge of Client benefits
- Basic computer applications/Microsoft word/typing required
- CM, CCM Admin Modules and Care Advance systems
- VDA, Virtual Desk Top (work from home)
- Ability to engage and motivate the member or member representative, mentor and train
- Identify existing and or potential psychosocial and quality of care issues
- Interact and collaborate with multidisciplinary team while advocating on member's behalf
- Providing effective written and verbal communication/feedback
- Organizational skills and ability to prioritize and have a flexible work schedule
-
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Description
Overview:TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
Title: Social Worker
Work Location: Detroit, MI 48226
Duration: 12 Months
Job Type: Contract
Work Type: Remote
Job Description
Dept: SHS CM Program Delivery
Engagement Description:
