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 Social Worker - Lexington or Louisville, KY - LOUISVILLE, Kentucky, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Health - Social Work/Public Health
 
Travel: 50 - 100% 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 890881 / Latpro-3754431 
Date posted: Sep-15-2020
State, Zip: Kentucky, 40201

Description

The Social Worker is responsible to act as a liaison and assists in coordinating resources for the care of health plan members with multiple co-morbidities and/or psychosocial needs. The primary scope is to provide counseling and assistance to patients and their families as requested with personal, financial, ethical and environmental difficulties that predispose patients to illness. The Social Worker acts as an advocate for members and their families linking them to community resources and financial assistance programs for continued growth toward a maximum level of independence. The Social Worker will interact and collaborate with the interdisciplinary care team, which includes physicians, nurses, case managers, pharmacists, laboratory technologists, other social workers, dietitians and other educators.


If you are located in or near Louisville or Lexington, KY, you will have the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements for Model of Care and Center for Medicare and Medicaid Services (CMS) regulations
  • Coordinates outpatient needs related to community resources, financial assistance programs, and long-term activity of daily living needs outside the benefit criteria of the medical insurance coverage
  • Attends member visits with their PCP and specialists as needed and provides related feedback on planned interventions and outcomes of plan of care
  • Identifies and assists with patients with high-risk diagnoses and/or patients with multiple co-morbidities who will benefit from social care coordination, contracts, providers, and facilities
  • Conducts site visits in the home, clinic, and hospital setting. Performs member evaluations in multiple settings, including but not limited to: member’s home, PCP/specialists clinic, hospital, and skilled nursing facility
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
  • Along with care team members, reviews the need for and assists with obtaining DME, home health and other resources necessary for the patient and educates them about their community resources and options and advocating on behalf of the patient
  • Takes ownership of the total work process and provides constructive information to minimize problems and increase internal and external customer satisfaction
  • Participates in the development of appropriate QI processes, establishing and monitoring indicators. Takes corrective action when data shows a need to modify management strategies or systems
  • Attends and contribute to staff meetings
  • Adheres to organizational and departmental policies and procedures
  • Seeks ways to improve job efficiency and makes suggestions to the appropriate manager
  • Performs all duties for internal and external customers in a professional and responsible manner
  • Assists in the growth and development of self and associates by sharing special knowledge with others
  • Attends educational offerings to keep abreast of change and comply with licensing requirements
  • Maintains knowledge of the Health Plan Benefits
  • Performs all other related duties as assigned
  • The pace is fast and you’ll need to be comfortable managing multiple priorities. You may be required to work in multiple locations, so scheduling flexibility is essential. You must also be able to respond calmly and effectively in emergency situations
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.


Requirements

Required Qualifications:

  • Master’s degree in Social Work (LMSW)
  • Current unrestricted KY social work license
  • Three or more years social work experience in a health care environment
  • Proficient in PC software computer skills such as Microsoft Word, Excel, Power Point, and other departmental specific programs/applications
  • Ability and willingness to travel (locally and non-locally) as determined by business needs
  • Reliable transportation that will enable you to travel to client and / or patient sites within a designated area

Preferred Qualifications:
  • Knowledge of disease management, managed care, medical terminology, referral process, claims, and ICD-9 and CPT coding
  • LCSW
  • Experience working with geriatric and psychiatric patient populations
  • Experience working in managed care
  • Bilingual (English/Spanish) language proficiency
  • Prior field based work experience
  • Experience working with Home Care Based Services
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills
  • Independent problem identification/resolution and decision making skills
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously


Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.
Job Keywords: Social Worker, Community Health Setting, Clinical Social Worker, LCSW, LMSW, MSW, Long-Term Care, Personal Care Services, Private Duty Nursing, Home Health, Home Care, Field Case Manager, Field, Community Care, Care Manager, Case Manager, Geriatric , Psych, Psychiatric, Disease Management, Medicaid Members, Community Centers, Hospitals, Providers' Offices, Home Care Based Services, Psychosocial, Integrated Care Model, Managed Care, Advocate, Louisville, Kentucky, KY, Travel, Telecommute, Telecommuter, Telecommuting, UHG, UnitedHealth Group, UHC, UnitedHealthcare


 

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