Lcsw
MemorialCare•Fountain Valley, CA
•Onsite
About The Position
In collaboration with Physician Leaders, Directors, Department Manager, and Supervisors. The Licensed Clinical Social Worker (LCSW) is responsible for supporting activities of MemorialCare Medical Foundations (MCMF) Care Management Program. Activities include but not limited to supporting patients/family regarding benefits, community resources, and referrals for social and/or behavioral health needs. This position will support patients while supporting the strategic goals of the MemorialCare Medical Foundation.
Requirements
- 3+ years of Social Worker Health Care related experience required
- Working knowledge of NCQA (National Committee for Quality Assurance) SNP (Special Needs Plans); DMHC (Department of Managed Health Care), and other managed care regulatory requirements required.
- Working knowledge of various software programs including: MS Excel, MS Word, MS Project, PowerPoint, MS Outlook/Office, SharePoint and Adobe.
- Work experience in an Electronic Medical Record, required
- Master’s degree in Social Work required
- Licensed Clinical Social Worker (LCSW) required
- BLS required if patient facing in a clinic setting.
Nice To Haves
- Bilingual in Spanish or another language preferred.
Responsibilities
- Provide Social Worker support in the Outpatient settings (PCP office/Specialty office, etc.) and personnel serving MCMF Managed Care, IPA and ACO populations.
- Adherent to regulatory compliance, contracted, delegated and non-delegated health plans supporting patient populations including but not limited to Medicare Advantage, Commercial, PPO, and ACO.
- Provide evidence-based clinical care, patient-centered care, promoting efficiency in the delivery of value-based care and quality per scope and licensure.
- Utilize Social Worker principles in the delivery of care. Be able to assist the patient in a sensitive and supportive manner, while acting as an advocate on behalf of the patient.
- Be at work and be on time.
- Follow company policies, procedures and directives. Maintain a strict degree of confidentiality as related to HIPPA and Compliance.
- Interact in a positive and constructive manner as a member of the healthcare team.
- Prioritize, and multitask
- Supports the organization’s goals and mission statement and in a professional manner.
Benefits
- high quality health insurance plan options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
