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Social Worker

Company: United Health Group
Location: mcallen
Posted on: May 3, 2021

Job Description:

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

The Social Worker is responsible for the assessment, planning, coordination and oversight of services for identifiedpatients 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 patients 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 patients plan eligibility
  • Coordinates identified patients 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.
    • a. Active participation in Performance Improvement (PI) or regional strategic initiatives
    • b. Active participation in staff and Interdisciplinary Teams (IDT) meetings
    • c. Adheres to organizational and departmental policies and procedures
    • d. 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

Youll 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.

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Required Qualifications:

  • Texas: Bachelor of Social Work with licensure (LBSW) with a minimum of 3 years experience beyond the required years of experience
  • Florida: Masters of Social Work with licensure (LCSW)
  • Active licensure as required in the applicable state of employment
  • 3 or more years social work experience in a health care environment
  • Excellent oral and written communications skills
  • Strong organizational skills
  • Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

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

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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 Work, LCSW, Healthcare, Texas, TX, McAllen

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Keywords: United Health Group, McAllen , Social Worker, Other , mcallen, Texas

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