Optum NJ Care Coordinator Social Worker

UnitedHealth Group • Secaucus, NJ

235d • $59,500 - $116,600 • Remote

About The Position

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. The role of the Case Management Care Coordinator is to assist the Medical Management team and physicians in the on-going monitoring of complex patients that includes but is not limited to: Identify psychosocial needs and interventions for patient's condition, proactively help prevent patient ER and acute admissions, facilitate the improvement of patient compliance, and assist in maximizing patient access to quality health care via coordination with various health services.

Requirements

• Graduate of an accredited Master's degree Social Work program
• Unrestricted current Social Worker license in state of New Jersey
• 3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician's office)
• 2+ years of experience with health plan care coordination
• Experience with Electronic Health Records
• Excellent interpersonal and communication skills (both written and oral)
• Proficient in Microsoft Office Suite, Adobe Products
• Solid critical thinking and decision-making skills
• Ability to travel to home office as necessary for training, meetings, or as requested by Supervisor/Manager
• Ability to work with a multi-disciplinary team

Nice To Haves

• Licensed Clinical Social Worker (LCSW)
• Experience in a remote/telecommuter work setting
• Background in behavioral health

Responsibilities

• Assist with development and maintain social service programs, drafting supporting policies, procedures, and guidelines for the program
• Telephonically assess patient psychosocial status
• Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
• Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
• Provide social work services including short-term counseling, community resource planning, and crisis intervention
• Acts as a resource person for other members of the healthcare team
• Develops and maintains through knowledge of referral resources throughout the service area
• Report to APNNJ Case Management Nurse variances in patient's condition, medications, or treatment
• Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan
• Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources
• Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others
• Refer to health education and other service departments as necessary
• Complete all required documentation in a timely manner according to department policy
• Refer patient to outside community resources, classes, education, etc. as appropriate
• Case closure as appropriate
• Collect data necessary for APNNJ Case Management reports/studies
• Attend APNNJ Case Management meetings and training as appropriate
• Other duties as needed

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Master's degree