- Coordinates resident assessments and evaluates resident needs in order to improve their quality of life and maintain their independence.
- Assists residents to complete required applications and collect required documentation to complete applications for financing of assisted living services by Alaska Medicaid waiver program, Alaska General Relief program as well as any documentation required by private insurers.
- Assists in the prior authorization of services and ongoing authorization updates as required by these programs for continued financing of assisted living care based on the care plan of the resident.
- Coordinates with providers regarding authorization activities.
- Completes care plan correction requests made by the State of Alaska in a timely manner and always within required deadlines and time limits.
- Coordinates communication between clinical staff, residents and providers as needed to complete authorizations for financing and timely renewal of authorizations for financing through various payor sources as enumerated above.
- Effectively manages a calendar to keep track of deadlines for financial document submission.
- Effectively manages a calendar of resident medical and other appointments.
- Act as liaison and member advocate between the member/family, physician(s) and the care team to ensure timely and effective communication regarding the residents' care.
- Fluent in the use of PointClickCare software for documentation and tracking of resident appointments and financial application milestones and deadlines.
- Participates in case round meetings and on-going education and quality improvement activities.
- Arrange provider/doctor appointments.
- Works with staff to arrange transportation and any needed escorts for residents to attend their medical and other appointments.
- Provides information to households regarding family members care plans and supplies family with all necessary resources to execute their portion of the care plan.
- Provides crisis intervention, and reviews legal or financial issues.
- Maintains compliance with legal and company requirements at all times.
- Always ensures that our clients are receiving the very best care.
- Maintains a compassionate demeanor at all times.
- See that all measures are taken to protect resident privacy and dignity in compliance with all federal HIPAA statutes.
- Maintains open communication with all managers consistant with ongoing company quality improvement initiatives.
- Bachelor of Arts, Bachelor of Science or Associate of Arts degree from an accredited university in social work, psychology, rehabilitation, nursing, or closely related human services field.
- One year of full time or part-time experience working as a Social Worker, hospital social worker or similar position is strongly preferred.
- Must be able to pass Alaska State background check.
- Familiarity with Alaska Medicaid regulations, Alaska Medicaid waiver programs.
- Familiarity with PointClickCare assisted living software preferred.
- Proficient knowledge of Microsoft Programs including Word and Excel.
- Strong commitment to working with individuals with personal care needs.
- Excellent communication skills, both written and verbal.
- Good problem-solving skills.
- Willingness to be flexible and work varied hours.
- Willingness to work as a team.
- Ability to learn new tasks and skills quickly.
- Ability to prioritize and manage multiple tasks effectively.
- Ability to work independently and be a self-starter.
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Social Worker - Anchorage, United States - McKinley Care
Description
Social Worker - Full-TimeJoin our team and make a difference to your community. We specialize in caring for residents with complex medical conditions including diabetes, heart and lung disease, dementia and cancer. At McKinley Care, we listen to the needs of our residents. We work with our community members to customize options that will help them lead the lives they want.
This opportunity for a Social Worker will concentrate on residents' needs and works to solve problems and overcome obstacles that are in the way of residents receiving the care and treatment they require. Conceives of short-term and long-term care plans while building working relationships with residents. The Social Worker is also responsible to guide and help residents navigate the health care system, ensuring their healthcare needs are met.
ESSENTIAL FUNCTIONS AND DUTIES
Social Workers will establish and maintain positive, ethical, and professional working relationships with clinical team members, clients, and outside organizations. Relates to a wide variety of people including members of ethnic and sexual minority populations and is respectful of individual and cultural differences.
EDUCATION AND EXPERIENCE
Disclaimer: This is not to be an exclusive list of all responsibilities', duties, and skills required of the person in this job. McKinley Care is an Equal Opportunity Employer. Successful candidate must pass, comply and adhere to McKinley Care Drug and Alcohol policy/testing requirements and pass a thorough background check including fingerprinting.
