Field Social Worker in Houston, TX

UnitedHealth Group•Spring, TX

About The Position

Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The CareCoach Connect Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, 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. The social worker 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. In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed hasmore than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. 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

Bachelor of Social Work with a minimum of 3 years experience beyond the required years of experience
Current BLS certification or must obtain certification within 30 days of employment hire date
3+ years social work experience in a health care environment
Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
Able to prioritize, plan, and handle multiple tasks/demands simultaneously
Ability to travel locally up to 75%25 of the time
Reliable transportation for daily travel to various locations as assigned
Valid drivers license within the state of work
This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Nice To Haves

Masters of Social Work with licensure (LMSW or LCSW or LBSW)
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
Excellent oral and written communications skills
Solid organizational skills

Responsibilities

Performs comprehensive evaluations and documents findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)
Performs patient assessments telephonically, virtually, or in the patient’s home 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 in patient and provider satisfaction
Actively participates in staff and Interdisciplinary Team (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
Conducts advanced care discussions with a patients and their families and properly documents their wishes in the electronic medical record
Exhibits professionalism and is courteous with all patients, physicians and co-workers
Follows CareCoach Connect providers’ orders regarding the scope and frequency of services needed based on acuity and patient/family needs
Maintains a patient case load, daily visits and point of care documentation levels as per standards
Documents in the electronic health record progress toward established goals as per standards
Performs other duties as assigned