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Remote Worker - N/A • UM Care Management
This Social Worker is a vital team member of the care management team. Acts as a collaborator and at times as lead care manager with our HealthTeam Advantage (HTA) members. Through collaboration, research, engagement, and by utilizing the skills and knowledge base of the bachelor’s prepared social worker, works hand in hand with the RN Care Manager in supporting identified member care needs. The BSW will work as a team member along with other HTA disciplines; to include RN’s, CMA’s, Pharmacists, Pharmacy Techs, Health Care Concierges, and the member's primary care team to work through barriers for our members. The BSW will act as an assertive advocate and liaison responsible for identifying and referring members to our local community resources, eg transportation, food banks, financial resources. This position requires strong organizational skills in order to multi-task and prioritize referrals, assignments, and requests. Professionalism and effective customer service are key when interacting with our members, leaders in the organization, as well as internal and external customers. This position requires confidentiality, discretion, and shared duties among the team
Major Work Activities
Connects members to Community Resources
Identifies and accesses community resources to optimize effective and efficient member care outcomes in collaboration with other members of the multidisciplinary team. Links members to community resources. Maintains a comprehensive, up-to-date filing system for agency brochures/lists, correspondence, records, and administrative data with appropriate indexing so that documents can be retrieved easily by anyone searching for the information. Collaborates / Assists RN Care Managers, in identifying community resources to benefit members and families, and assists with the completion of referrals as requested. Works with the interdisciplinary team to develop and implement an effective plan of care for the member.
Collaborates with IDT
The SW is a vital member of the interdisciplinary team and actively participates to develop and implement an effective individualized plan of care for the member. The SW will make outreaches to members and conduct assessments. The SW is responsible for clinical documentation and effective communication to ensure member's needs are addressed on a collaborative approach.
Assist with Discharge Planning on high-risk cases
Works with hospital discharge planners on high risk for readmitting cases. May assist with facility placement from member homes in the community. Assists with completion of FL-2 forms. Contacts assisted living or skilled nursing facilities to determine bed availability. Arranges appropriate transportation for discharge as needed. Ensures departmental leadership is aware of potential barriers to the efficient, effective completion of tasks (system delays, etc.) Proactively ensures appropriate utilization of resources and achievement of optimal member outcomes in compliance with regulatory requirements.
Advocates for patients, family members, organization, and profession.
Advocates for members, family members, and organization; contribute to the professional development of self and others. Educates other disciplines about the importance of communicating appropriate information to social work staff, and intervenes when appropriate. Ensures members and family members are actively informed of and participating in the care process and are able to make informed decisions about care. Advocates for patients’ cultural and religious beliefs and value systems, and ensures that this information is communicated to others on the healthcare team so that they are incorporated into the care plan; educates healthcare team about the impact of these factors on members’ healthcare decision-making and health and wellness outcomes.
Participates in quality improvement as requested
Participates in quality improvement. Participates in data collection in accordance with departmental policies and procedures, and with accuracy and within requested timeframes. Reviews interpret and apply clinical and financial data relevant to assigned patient populations.
Performs other duties as assigned.
Bachelor of Social Work from a program accredited by the Council on Social Work Education
Annual Flu Vaccine
One to two (1 to 2) years of recent inpatient or outpatient experience
Community experience. An equivalent combination of education and experience may be considered.
Screener Questions: Care N Care Insurance Screeners
Do you now, or will you in the future, require sponsorship for employment visa status in the United States to work legally for Care N' Care Insurance Company of North Carolina, Inc. d/b/a HealthTeam Advantage? (required) (auto reject if incorrect)
Are you at least 18 years of age? (required) (auto reject if incorrect)
If presented with an offer would you be willing to complete a background check? (required) (auto reject if incorrect)
Do you have Medicare Advantage experience? (required)
Are you legally authorized to work in the United States for Care N' Care Insurance Company of North Carolina, Inc. d/b/a HealthTeam Advantage? (required) (auto reject if incorrect)
It is the policy of Care N' Care Insurance Company of North Carolina, Inc. that all employees be vaccinated, with certain exceptions for religious or medical accommodations under the Americans with Disability Act. Are you able to comply with this policy if offered employment? (required) (auto reject if incorrect)
Time: Full time
Updated: 8/30/2021 11:00:53 AM