Social Worker Remote

UnitedHealth Group•Fishkill, NY

3d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The role of the Case Management Care Coordinator (Social Worker) is to assist the Medical Management team and physicians in the on-going monitoring of complex patients that includes but is not limited to: Identify psychosocial needs and interventions for patient’s condition Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care Assist in maximizing patient access to quality health care via coordination with PCPs, Specialists, social services, home health, health education, and laboratory services

Requirements

Willing to accept: graduate of an accredited Master’s degree Social Work program. Or, Bachelor’s in Social work with 5+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician’s office)
Licensed Clinical Social Worker (LCSW)
Unrestricted current NY Social Worker license
3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician’s office)
2+ years of experience with health plan care coordination
Experience with Electronic Health Records
Proficient in Microsoft Office Suite, Adobe Products
Proven excellent interpersonal and communication skills (both written and oral)
Proven solid critical thinking and decision-making skills
Proven ability to travel to home office as necessary for training, meetings, or as requested by Supervisor/Manager

Nice To Haves

Experience in a remote/telecommuter work setting
Background in behavioral health

Responsibilities

Assist with development and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
Telephonically assess patient psychosocial status
Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
Provide social work services including, short-term counseling, community resource planning, and crisis intervention
Acts as a resource for other members of the healthcare team
Develops and maintains thorough knowledge of referral resources throughout the service area
Report to Case Management Nurse variances in patient’s condition, medications, or treatment
Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan
Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources
Provides positive customer relations with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others
Refer to health education and other service departments as necessary
Complete all required documentation in a timely manner according to department policy
Refer patient to outside community resources, classes, education, etc. as appropriate