Social Care Manager - Remote

UnitedHealth Group•San Diego, CA

1d•$60,200 - $107,400•Remote

About The Position

The Social Care Manager (SCM) is responsible for working in a collaborative environment with the patient/caregiver, provider, and Medical Management team to effect overall care coordination. This is accomplished with an emphasis on social determinants of health, comprehensive assessment of psychosocial needs, knowledge of community resources, and networking and collaborating with other community agencies. The Social Care Manager assists the patient, family/guardian and all members of the healthcare team in the care coordination process. Demonstrates positive communication and interpersonal skills with patients, families, and coworkers. If you are located in CA, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Master’s degree from a CSWE-accredited School of Social Work, or a in a Behavioral Science-related field.
1+ years of clinical experience in a healthcare setting, or successful completion of a relevant internship
Promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing job responsibilities and conducting self in a professional, courteous and respectful manner during all interactions. Must hold relationships to a high standard- respectful approach to all people and interactions, listen to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growth
Integrate Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfaction
Follow written and oral instructions and completed routine tasks independently
Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs Agreements
Ensures confidentiality of patient information following HIPAA guidelines and company policies
Attends training to meet the requirements of the job position and as needed or mandated by company policies and regulations
Has regular and predictable attendance
Working knowledge of health care delivery systems
Working knowledge of PC applications including MS Office Suite including other supportive technology
Ability to use written and oral communication skills
Ability to read and interpret data
Skill in writing clear, grammatically correct, easy to use instructional documentation
Be accountable in identifying learning needs, setting goals and seeking educational opportunities
Ability to analyze problems and formulate appropriate plans, solutions, and courses of action
Knowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverbally
Ability to work with frequent interruptions
Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates
Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners
Ability to manage detail and work with accuracy
Ability to recognize and act appropriately in situations where patient care needs exceed scope of practice
Skill in working with a team and the ability to collaborate on projects with colleagues
Skill in working effectively under deadlines and changing priorities
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Utilize approved resources to establish a safe and effective care management plan for members
Complete a comprehensive psychosocial assessment for each member and develop a member-specific action plan to address all identified resource needs
Collaborate with members, families, and healthcare providers
Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
Advocate for members and families and assist them in navigating the healthcare system
Considers the patients age-specific needs as appropriate and effectively communicates with members, families, staff, and community members from diverse backgrounds
Identify and intervene with high-risk members requiring social services
Maintains statistical data on social care treatment plans, intervention, and outcomes.
Participate in interdisciplinary team meetings
Acts as a resource to department teammates, organization teammates, and providers for complex members
Understands insurance products, benefits, coverage limitations, insurance, and governing regulations as it applies to the health plan
Use, protect, and disclose members’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Portrays a positive attitude when interacting with others in the health care arena
Trained to assess and respond to danger to self or others in alignment with state licensure standards
Performs additional duties as assigned