Social Worker

UnitedHealth Group•Phoenix, AZ

About The Position

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Position in this function is responsible for coordinating social services for Optum Arizona employed and network members. Collaborates with the accountable employed PCP or Network Provider to ensure a quality patient experience through fostering a caring culture that demonstrates excellent customer service while achieving Optum Arizona strategic financial goals and population management goals. Collaborates with healthcare delivery stakeholders and members in managing social services needs within the community. Develops individualized care plans that optimize the psychosocial and financial factors impacting transitions of care. Acts as a resource for the member and the health care delivery team in the outpatient setting, identifying and managing referrals to community resources. Ensures appropriate standards of care are implemented and in compliance with all state and federal regulations, standards of practice, corporate policies and procedures. Collaborates with multi-disciplinary team to ensure appropriate care planning and referral processing for all members referred to the program.

Requirements

Master’s degree in Social Work
Unrestricted State of Arizona Social Work license or eligibility for immediate provisional license
Ability to complete BLS within 60 days of employment
2+ years of related social work experience in an acute care setting, clinic, home health or case management setting
Working knowledge of the following:
Social work theory/ practice, ability to utilize a variety of diagnostic tools/ techniques including DSM V
State and community based programs, including rules and regulations applicable to these programs
Advanced directives, POLST and legal regulations, including but not limited to reporting of abuse
Ability to be an excellent self-starter
Proven good communication skills, excellent phone etiquette and customer service skills
Demonstrated ability to build and maintain community resource database
Proven basic computer skills to include Word, Excel, and windows based applications and worked with electronic medical records
Valid Arizona driver’s license, auto insurance and a motor vehicle in good working condition

Nice To Haves

Proven understanding of managed care

Responsibilities

Foster a workplace culture that is consistent with the overall organizations’ and that emphasizes the identified mission, vision, guiding principles, and values of the organization
Provide patient care (direct and indirect) with exemplary customer service to internal and external customers
Assist with the coordination of patient care under the guidance of the primary care provider, act as liaison in person or by telephone for health plan
Identify, Assist, Coordinate and initiate referrals for social service programs including; financial, psychosocial, community and state supportive services
Duties include but not limited to formulation and management social service plan of care throughout the continuum of care as a single point of contact for outpatient social services; documents all member assessments and services provided in the electronic medical record including referrals to social service programs and follow-up documentation to ensure referral was received by the social services agency
Participate in team meetings as is dictated by designated area of responsibility
Responsible to contact patient and/or caregiver to initiate plan of care within three business days for routine referrals; 2-business day for ASAP referrals and one business day for Urgent referrals
Subject matter expert to include but not limited to community resourcing
Maintain, facilitate and promote department protocols, processes, policies and standards to include but not limited to the following: new and existing patient management and other specialty specific protocols as signed by department head or designee
Other duties as assigned