Medical Social Worker Supervisor

Kenaitze Indian Tribe

83d•Onsite

About The Position

The Medical Social Worker Supervisor is a key member of the interdisciplinary healthcare team at Dena'ina Wellness Center and is responsible for overseeing the daily operations of the Purchase Referred Care (PRC) program. The supervisor provides essential psychosocial support, case management, and advocacy services to un'ina (patients) and their families. The Supervisor position will focus on addressing the social determinants of health that impact the well-being of our un'ina (patient) population. The Medical Social Worker Supervisor ensures the efficient and effective delivery of services related to un'ina eligibility, referral management, and PRC claims processing. The Medical Social Worker will work closely with all members of the healthcare team including Primary Care, Dental, Optometry, Behavioral Health, Physical Therapy, and other specialties to ensure comprehensive and coordinated care as well as ensuring seamless coordination of un'ina referrals and PRC claims. The Supervisor will also provide warm hand offs to non-healthcare Kenaitze Indian Tribe Departments as appropriate to improve the well-being of our un'ina.

Requirements

Master's degree in Social Work (MSW)
Current, valid Alaska state license as a Licensed Clinical Social Worker (LCSW) or equivalent licensure required
Must have a valid Alaska State driver's license and must remain insurable under the Tribe's policy, or obtain within 90 days of hire
Basic Life Support (BLS) certification required, or obtain within 90 days of hire
Strong organizational and time-management skills
Proficiency with Microsoft Suite, or obtain training within 90 days of hire
Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and others
Ability to multi-task, work independently, and meet deadlines
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.

Nice To Haves

Knowledge and experience working with cultural diversities

Responsibilities

Assists un'ina and family in understanding referral recommendations and options to facilitate un'ina and families engaging in treatment planning and decision making
Facilitates appropriate use of Kenaitze Indian Tribe and community resources to best suit the un'ina needs to ensure un'ina centered care and alignment with Tribal traditions and values
Ensures timely completion of PRC claim review, referral management, and Family Health Resource (FHR) screenings to provide appropriate insurance support services to un'ina
Provides daily operational oversight of the PRC program, ensuring that all Tribal and Indian Health Services (IHS) procedures are followed accurately and efficiently
Assess and implements departmental workflows to ensure efficient and timely processing of referrals and PRC claim review and reviews accuracy and completeness of all documentation, records, and data entry
Communicates with Health Systems Departments and external facilities regarding un'ina referrals and claims
Identify and resolve issues related to un'ina eligibility and referrals within the PRC program, ensuring compliance with policies and timely access to care
Participate in interdisciplinary team meetings to provide insight on un'ina needs and potential barriers to care
Performs duties to include compiling and maintaining reports and statistical information as required
Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance