- Participates in the development and monitoring of an individualized plan of care with the multi-disciplinary health care team, patient and family/caregivers that promote patient strengths, advance patient well-being, and assist patients achieve their goals.
- Assesses patient's progress and participates in plan of care throughout enrollment in population health management program.
- Mobilizes resources, intervenes as necessary and evaluates actions to achieve expected goal.
- Provides consultation to Population Health Care Managers when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes.
- Identifies the need for and conducts family meetings that result in informed decisions and other outcomes.
- Refers to and confers with appropriate medical professionals for co-management of patients with complex medical and social needs.
- Formulates and implements appropriate plans of care reducing barriers to care, which result in preventing hospital admissions and/or emergency room visits.
- Actively participates in interdisciplinary Population Health staff meetings.
- Documents findings in the enrollee database including the patient's or families' involvement and knowledge of the plan and care needs of the enrollee.
- Coordinates with other disciplines to determine, arrange, or provide the most beneficial program, therapy or activity to contribute toward the patient's ability to self-manage their health, based on the age population and psychosocial needs of the patients.
- Demonstrates ability to maintain a familiarity of community resources.
- Maintains current community resources directory current.
- Educates patients and families of the requirements and limitation of local and federal programs as they pertain to the patient's needs.
- Demonstrates ability to collaboratively coordinate care with other disciplines to provide appropriate psychosocial and emotional support for patients.
- Maintains and includes in practice updated general knowledge of managed care regulations, Medicaid/Social Security guidelines and community agency programs and limitation.
- Demonstrates ability documenting and updating all referrals and counseling sessions.
- Conducts a comprehensive assessment of patient and family/caregiver's psychosocial functioning and needs as they relate to chronic illness including prior functioning levels, appropriateness, social determinants, adequacy of support systems, reaction to illness and ability to cope.
- Utilizes professional judgment, critical thinking, and self-management techniques to assist patients in overcoming barriers to goal achievement.
- Identifies and refers potential quality concerns per corporate policy.
- Must be self-motivated
- Possess the ability to communicate effectively
- Excellent human relations skills
- Be able to work effectively in a team setting
- Ability to follow a project or assignment through a successful completion.
- Ability to read and interpret documents such as general business periodicals, professional journals, procedure manuals and/or governmental regulations.
- Ability to write routine reports and correspondence.
- Ability to speak effectively before groups of customers or employees of organization.
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
- Current enrollment in an undergraduate or graduate degree program in Social Work or a related field.
- Knowledge of Microsoft Word, Microsoft Outlook, Microsoft Excel and internet software.
-
Union Sprinkler Apprentice
4 days ago
International Fire Protection Inc. Fort Lauderdale, United States**PROVIDING RIGHT SOLUTIONS FOR ALL FIRE PROTECTION NEEDS SINCE 1990.** · International Fire Protection (IFP) is an Alabama-based values driven fire suppression company. We have charted our history and legacy on our purpose of building meaningful relationships while making the wo ...
-
Position 226-08
3 days ago
Citco Fort Lauderdale, United States**About Citco**: · The market leader. The premier provider. The best in the business. At Citco, we've been the front-runner in our field since our incorporation in 1948 led to the evolution of the asset servicing sector itself. This pioneering spirit continues to guide us today a ...
-
HUB International Fort Lauderdale, United States**ABOUT HUB INTERNATIONAL**: · HUB International Limited ("HUB") is the 5th largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and ser ...
-
Program Manager I
1 day ago
City of Fort Lauderdale, FL Fort Lauderdale, United StatesThe City of Fort Lauderdale employees possess a passion for public service demonstrated by a high degree of enthusiasm, self-reliance, and job proficiency. They effectively convey the vision and mission of the organization and provide excellent service and satisfaction to our int ...
-
Primary Care Physician
1 day ago
One Medical Fort Lauderdale, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
-
Loss Prevention Officer
1 day ago
Marriott International, Inc Fort Lauderdale, United States**Job Number** · **Job Category** Loss Prevention & Security · **Location** Fort Lauderdale Marriott Harbor Beach Resort & Spa, 3030 Holiday Drive, Fort Lauderdale, Florida, United States VIEW ON MAP · **Schedule** Full-Time · **Located Remotely?** N · **Relocation?** N · **Posi ...
-
Faculty (Rank Tbd) - Prosthodontics
4 days ago
Nova Southeastern University Fort Lauderdale, United States**Faculty (Rank TBD) - Prosthodontics **Post internally to CDM ONLY**: · **Job Number**: 505537 · **Work Type**: Full Time with Full Benefits · **Location**: Fort Lauderdale-Davie, Florida · **Categories**: Faculty - Health Professions · **About Us**: · **We are excited that you ...
-
Moen Fort Lauderdale, United States**Company Description** · **At Fortune Brands Innovations, we believe that our innovation and success are fueled by the passion of our people and the strength of our teams. Together, we **work to fulfill dreams of home by aligning around common goals, being agile in the face of c ...
-
Inroom Dining Order Taker
1 day ago
Marriott International, Inc Fort Lauderdale, United States**Job Number** · **Job Category** Food and Beverage & Culinary · **Location** The Ritz-Carlton Fort Lauderdale, 1 North Fort Lauderdale Beach Boulevard, Fort Lauderdale, Florida, United States VIEW ON MAP · **Schedule** Full-Time · **Located Remotely?** N · **Relocation?** N · * ...
-
Ambassador Service Expert
1 day ago
Marriott International, Inc Fort Lauderdale, United States**Additional Information** Food and Beverage · **Job Number** · **Job Category** Food and Beverage & Culinary · **Location** The Ritz-Carlton Fort Lauderdale, 1 North Fort Lauderdale Beach Boulevard, Fort Lauderdale, Florida, United States VIEW ON MAP · **Schedule** Full-Time · ...
-
Server
1 day ago
Marriott International, Inc Fort Lauderdale, United States**Job Number** · **Job Category** Food and Beverage & Culinary · **Location** The Ritz-Carlton Fort Lauderdale, 1 North Fort Lauderdale Beach Boulevard, Fort Lauderdale, Florida, United States VIEW ON MAP · **Schedule** Full-Time · **Located Remotely?** N · **Relocation?** N · * ...
-
Beach Pool Runner
1 day ago
Marriott International, Inc Fort Lauderdale, United States**Additional Information** Beach Pool Runner · **Job Number** · **Job Category** Rooms & Guest Services Operations · **Location** The Ritz-Carlton Fort Lauderdale, 1 North Fort Lauderdale Beach Boulevard, Fort Lauderdale, Florida, United States VIEW ON MAP · **Schedule** Full-Ti ...
-
Customer Service Representative
16 hours ago
Armchem International Corp Fort Lauderdale, United States_**Do you have a great way with people? Are you friendly, upbeat and naturally always going above and beyond?**_ · - **Then our Customer Service position is perfect for you. This is an excellent opportunity to gain hands-on experience with a fast-paced and growing business. Here ...
-
Marsh Mclennan Agency
4 days ago
RippleMatch Opportunities Fort Lauderdale, United States**This role is with Marsh McLennan Agency. Marsh McLennan Agency uses RippleMatch to find top talent.** · **Sales Operations Assistant**: · **Our not-so-secret sauce.** · **Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by ext ...
-
Quality Assurance Supervisor
16 hours ago
Halperns Steak and Seafood Company LLC Fort Lauderdale, United StatesWelcome to Halperns We are excited that you are thinking about opportunities with us, and we have an amazing story to share. Here's a quick glance of who we are and the impact you could have on the food service industry. There's a seat at our table for you... · Quality Assurance ...
-
Logistics Assistant Bilingual
2 days ago
Globaltek International Fort Lauderdale, Florida, United StatesRequisitos: · We wish to link to our team bilingual logistics assistant, with minimum 3 years related experience in distribution and wholesale companies in the technology sector, who will be responsible for the overall management of all procurement, transportation, warehousing an ...
-
Marketing Associate
1 week ago
SchoolHouse Marketing Fort Lauderdale, United States**Job description** · **THIS IS AN ENTRY LEVEL POSITION** · **PAID TRAINING** · The goal for our ENTRY LEVEL Marketing Associate is to be actively engaged with on the ground, live marketing campaigns for our clients. These experiential campaigns will be conducted within the local ...
-
Hospice Representative
1 day ago
TrustBridge, Inc. Fort Lauderdale, United StatesOverview: · **_ Pay range: $56k - $69k based on experience plus bonus structure_** · **_ · Have you thought about Trustbridge?_** · Since 1978, Hospice of Palm Beach County, Hospice of Broward County and Hospice by the Sea have cared for 200,000 families in South Florida. These t ...
-
Nanny
16 hours ago
Chace People Fort Lauderdale, United Statessector- Childcare & Education- emp type- Full-time- salary- Up to $40 per hour (negotiable DOE)- location- United States, Fort Lauderdale- Job Type- Permanent- place of work- On-site- published date- 16/05/2024- job id- 33031Antonia Catherine Edwards · Founder & MD · **job descri ...
-
Retail Sales Associate
16 hours ago
Farm Stores North Lauderdale, United States**About Us** · Farm Stores are a combination of grocery store, bakery and restaurant, which give customers the freshest products in the most convenient manner: the equivalent of a drive-thru supermarket express lane while providing a unique neighborhood experience. · **Our benefi ...
chronic condition social work intern - Sunrise, FL, USA, United States - Community Care Plan
Description
MUST BE WILLING TO PHYSICALLY WORK NEAR SUNRISE, FLORIDA, 33323The Community Care Plan 2024 Summer Internship program will run for 8 to 10 weeks. There will be two start dates May 13th or June 3rd.
Position Summary:
The Population Health Social Work Intern facilitates the psychosocial care of patients to ensure quality outcomes and appropriate utilization of health care resources.
Serves as a member of a multi-disciplinary team whose primary objective is to provide care coordination services to high-risk enrollees through evaluation of psychosocial and economic co-morbidities.
Participates in identification activities (panel management), bio/psycho/social assessments, patient education, behavior change counseling, and other related activities. Assists with providing linkages to community resources and care plan goal achievement. Performs all job duties and responsibilities in a courteous, customer-focused and ethical manner.Essential Duties and Responsibilities:
This job description in no way states or implies that these are the only duties performed by the employee occupying this position.
Skills and Abilities:
Work Schedule:
As a continued effort to provide a safe and productive work environment, Community Care Plan is currently following a hybrid work schedule.
Staff are able to work from home 3 days a week and will report to the office 2 days a week.
*The company reserves the right to change the work schedules based on the company needs.Physical Demands:
The physical demands described here are representative of those requirements employees must meet to perform the essential functions of this job with or without reasonable accommodations.
While performing job functions, the employee is regularly required to sit, and stand, write, review and type reports, compile data, operate a pc, communicate, listen, and assess information.
While performing the duties of this job, the employee is regularly required to sit; use hands and talk or hear.
The employee is occasionally required to reach with hands and arms; climb or balance; stoop, kneel, crouch or crawl and taste or smell.
The employee must occasionally lift and/or move up to 25 pounds.Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, ability to adjust focus and ability to see color.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique.
Qualifications
