$68573 - $73893 Year
Monday to Friday
Day shift
Health insurance
Paid time off
Employee discount
Dental insurance
Vision insurance
401(k)
401(k) matching
Flexible schedule
Parental Leave
Tuition reimbursement
Flexible spending account
Retirement plan
Others
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.
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 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 i patient and provider satisfaction
Active participation in Performance Improvement (PI) or regional strategic initiatives
Active participation in staff 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.
Preferred Qualifications:
Texas: Masters of Social Work with licensure (LMSW)
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
Communication
Leadership
Teamwork
Interpersonal
Learning/adaptability
Self-management
Organizational
Computer
Problem solving
Open mindedness
Strong work ethic
technology
Others
Texas: Bachelor of Social Work with licensure (LBSW) with a 3+ years of experience beyond the required years of experience
Active licensure as required in the applicable state of employment
3+ years of social work experience in a health care environment
Proficient in MS Office Suite to include Word Excel Note 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
Health care
5
Remote