Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients’ within their respective healthcare plan. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, SDOH (Social Determinants of Health) and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. Acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member.If you have the ability to 75% travel in the field, you will have the flexibility to work remotely, as well as work in the office as you take on some tough challenges. This role will have 75% travel in the field, the other percentage will be at home.Primary Responsibilities:
Perform comprehensive evaluations and document findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)
Performs patient assessments in multiple settings to include but not limited to the patient’s home, the PCP/specialists clinic, hospital, and/or skilled nursing facility as needed
Understands and plans to assure services provided work within the boundaries of thepatient’s plan eligibility. Coordinatesidentified patient’s needs utilizing federal, state, and local community resources, as available
Coordinates with external and internal teams to minimize obstacles and increase inpatient and provider satisfaction
Active participation in Performance Improvement (PI) or regional strategic initiatives
Active participation instaff and Interdisciplinary Teams (IDT) meetings
Adheres to organizational and departmental policies and procedures
Maintains a high level of professionalism and adheres to the WellMed Core Values
Assumes responsibility for personal and professional development
Ensures licensure, certifications, and annual training are maintained and compliant
Maintains knowledge of current health plan benefits
Performs other duties as assigned
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:
Bachelor of Social Work
Current BLS certification or must obtain certification within 30 days of employment hire date
3+ years social work experience in a health care environment
Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously
Proven excellent oral and written communications skills
Proven solid organizational skills
Must have reliable transportation for daily travel to various locations as assigned Must have a valid drivers license within the state of work
Preferred Qualifications:
Masters of Social Work with licensure (LMSW or LCSW or LBSW)
Experience working with geriatric and behavioral and mental health patient populations
Long Term Care experience
Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding
Bilingual (English/Spanish) language proficiency
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyAt 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.