Social Worker (Remote), Texas

UnitedHealth Group•San Antonio, TX

19h•Remote

About The Position

The CareCoach Connect Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, Social Determinants of Health and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. The social worker acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member. If you are located in Texas, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Bachelor of Social Work with a minimum of 3 years experience beyond the required years of experience
Current BLS certification or ability to obtain within 30 days of employment hire date
3+ years social work experience in a health care environment
Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
Ability to prioritize, plan, and handle multiple tasks/demands simultaneously
Must reside within the state of Texas

Nice To Haves

Masters of Social Work with licensure (LMSW or LCSW or LBSW)
Experience working with geriatric and behavioral and mental health patient populations
Long Term Care experience
Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding
Bilingual (English/Spanish) language proficiency
Excellent oral and written communications skills
Solid organizational skills

Responsibilities

Performs comprehensive evaluations and documents findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)
Performs patient assessments telephonically, virtually, or in the patient’s home as needed
Understands and plans to assure services provided work within the boundaries of the patient’s plan eligibility. Coordinates identified patient’s needs utilizing federal, state, and local community resources, as available
Coordinates with external and internal teams to minimize obstacles and increase in patient and provider satisfaction
Actively participates in staff and Interdisciplinary Team (IDT) meetings
Adheres to organizational and departmental policies and procedures
Maintains a high level of professionalism and adheres to the WellMed Core Values
Assumes responsibility for personal and professional development
Ensures licensure, certifications, and annual training are maintained and compliant
Maintains knowledge of current health plan benefits
Conducts advanced care discussions with a patients and their families and properly documents their wishes in the electronic medical record
Exhibits professionalism and is courteous with all patients, physicians and co-workers
Follows CareCoach Connect providers’ orders regarding the scope and frequency of services needed based on acuity and patient/family needs
Maintains a patient case load, daily visits and point of care documentation levels as per standards
Documents in the electronic health record progress toward established goals as per standards
Performs other duties as assigned