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 CareCoach Connect Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, 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. The social worker 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.Primary Responsibilities:
Performs comprehensive evaluations and documents findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)
Performs patient assessments telephonically, virtually, or in the patient’s home as needed
Understands and plans to assure services provided work within the boundaries of the patient’s plan eligibility. Coordinates identified patient’s needs utilizing federal, state, and local community resources, as available
Coordinates with external and internal teams to minimize obstacles and increase in patient and provider satisfaction
Actively participates in staff and Interdisciplinary Team (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
Conducts advanced care discussions with a patients and their families and properly documents their wishes in the electronic medical record
Exhibits professionalism and is courteous with all patients, physicians and co-workers
Follows CareCoach Connect providers’ orders regarding the scope and frequency of services needed based on acuity and patient/family needs
Maintains a patient case load, daily visits and point of care documentation levels as per standards
Documents in the electronic health record progress toward established goals as per standards
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 with 3+ years experience beyond the required years of experience
Active TX social worker license
3+ years social work experience in a health care environment.
Current BLS certification or must obtain certification within 30 days of employment hire date
Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
Have reliable transportation for daily travel to various locations as assigned
Have a valid drivers license within the state of work
Able to prioritize, plan, and handle multiple tasks/demands simultaneously
Ability to travel locally up to 75% of the time
Preferred Qualifications:
Masters of Social Work with licensure (LMSW or LCSW or LBSW)
Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding
Experience working with geriatric and behavioral and mental health patient populations
Long Term Care experience
Bilingual (English/Spanish) language proficiency
Excellent oral and written communications skills
Solid organizational skills
Physical & Mental Requirements:
Ability to lift up to 50 pounds
Ability to push or pull heavy objects using up to 100 pounds of force
Ability to stand for extended periods of time
Ability to use fine motor skills to operate equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
Occasionally requires exposure to communicable diseases or bodily fluids
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.