Social Worker/lcsw - Santa Clara, United States - Alignment Healthcare

Alignment Healthcare
Alignment Healthcare
Verified Company
Santa Clara, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve.

Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees.

At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives.

After all, when you can bring your authentic self to work, whether that's in a clinical setting, our corporate office or a home office, creativity and innovation flourish Another important part of the Alignment culture is a belief in continuous learning and growth.

As a result, in this fast-growing company, you will find ample support to grow your skills and your career - with us.


Overview of the Role:


Alignment Health is seeking a field-based social worker in Santa Clara, CA to join the Care Anywhere team (mileage reimbursement provided.) As a social worker, you will assess and evaluate members' needs and requirements to achieve and / or maintain their health.

You will be providing field, virtual, and telephone visits. You will guide members and their families toward and facilitate interaction with resources appropriate for their care and well-being.

You will also work in collaboration with a multi-disciplinary team, employing a variety of strategies, and techniques to enable a member to manage their physical, environmental and psycho-social health issues.

If you are looking for an opportunity to learn and grow and be a part of an organization that is making a positive impact in the lives of seniors, we're looking for YOU


Responsibilities:


Conduct telephonic and face-to-face social work outreach to assigned members to assess health, environment, mental health, nutrition, functionality, decline, and psycho-social areas of concerns by conducting a social work assessment.

Coach and problem solve with member to identify and address specific goal(s) to support health and behavior change. in response to assessments.

Document social work interventions and goals in the EMR in a timely manner.

Adhere to the departments documentation requirement of submitting face to face field visit documentation within 2 business days of seeing the Member.

Document all telephonic and virtual visits into the medical record the same day care is provided.

Promote the value of health care advanced directive and documents discussion of member preferences.

Chart thoroughly and timely on all member encounters.

Provide appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community
- based support services, supportive counseling for mental health conditions, care navigation, advanced care and end of life planning.

Collaborate with other members of the interdisciplinary team.

Chart member's treatments and progress in accordance with state regulations and department procedures.

Make referrals to case manager, as appropriate, and / or refers member's family to community support services and resources.

Provide home assessment to high-risk members and develop an individual care plan


To better serve members and implement the model of care, will understand the clinical program design, program monitoring and reporting.


Perform a full range of clinical social worker procedures in accordance with clinical privileges granted by the plan and based in accordance with social work standards of practice.


Practice as an interdependent member of the health team and provide important components of primary health care through direct social work services, consultation, collaboration, referral, teaching, and advocacy.


Provide direct and indirect services to both inpatient and outpatient service locations in accordance with social work standards of practice.


Assess and treat outpatients in individual and family modalities exercising mature professional judgment and using a wide range of social work skills to include individual and family counseling to assist patients and their families in dealing with chronic and acute diseases / injuries.

Conduct psychosocial assessments to determine patient needs and resources (both family support and community support).

Provide counseling to patient and family in matters directly related to patient's limitation, adjustment to medical condition, and ongoing treatment.

Participates with nurses and physicians in the implementation of discharge plans, follow-up care, and transfers to other health care facilities (nursing homes, rehabilitation hospitals, etc.)

Plan and maintain referral and co
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