- Performing telephonic social work consultations with members promoting high quality community resources.
- Performing telephonic consults with member's PCP when needed.
- Developing a plan of care that details actions of the member and/or provider based on the social work assessment.
- Documenting clinical consultations, including the plan of care, into internal database.
- Maintaining the clinical integrity of programs offered.
- Serving as a clinical resource and consultant for other clinicians.
- Participating in and contributing to staff meetings and other staff development opportunities and interdepartmental work groups.
- Working with Supervisor to identify system improvements that could be made to drive operational advancements and efficiencies
- Provide cross-coverage support across the team support and assist with special projects, as needed.
- Other duties as assigned by Supervisor or Manager.
- Master's degree in social work
- Professional Social Work License in good standing
- 2+ years professional experience in a social work position with geriatric adults/Medicare population
- Knowledge of healthcare delivery system
- Computer/typing proficiency to enter/retrieve data in electronic clinical records
- Proficient with Microsoft Word, Excel, Outlook
- Knowledge of medical terminology
- Ability to work Monday from Friday, 9am EST to 5:30pm EST
- Bilingual Spanish
- Telephonic member engagement experience
- Knowledge of CMS regulations, Medicare and Medicaid
- Solid interpersonal skills
- Ability to work independently, as well as a member of a team
- Excellent written and verbal communication skills
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Care Coordinator - Atlanta, United States - Optum
Description
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our HouseCalls product, we provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
The HouseCalls Clinical Support Team (HCCST) supports Advanced Practice Clinicians in the HouseCalls and Complex Care Management businesses by providing telephonic consultation to plan members and their healthcare providers in a call center environment. This team includes care coordinators, nurse care managers, pharmacists, and social workers.
The Clinical Care Coordinator- Social Worker will report directly to the Supervisor of Clinical Operations. The Social Worker performs telephonic consults to identify and assess available services to meet the social service need of the member. The Social Worker assures that members and families are knowledgeable of potential community resources and how to access them. The Social Worker serves as a resource to clinical services staff in dealing with complex psychosocial issues and accessing community resources.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
You'll 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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves 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.
