About The Position

WellMed, part of the Optum family of businesses, is seeking a CareCoach Connect Social Worker to join their team in Austin, TX. This role is integral to Optum's vision of making healthcare better for everyone, providing clinicians with the resources, data, and support of a global organization. The CareCoach Connect Social Worker will assess, plan, coordinate, and oversee services for patients with complex, catastrophic, Social Determinants of Health, and/or psychosocial issues. The position ensures compliance with state and federal health plan requirements, Medicare guidelines, and standards. The social worker acts as a liaison, coordinating and collaborating care with physicians, family, and other providers, while advocating for patients and placing them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member.

Requirements

  • Bachelor of Social Work with 3+ years of experience beyond the required years of experience
  • Current BLS certification or must obtain certification within 30 days of employment hire date
  • 3+ years of 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
  • Proven excellent oral and written communications skills
  • Proven solid organizational skills
  • Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously
  • Reliable transportation for daily travel to various locations as assigned
  • Valid drivers license within the state of work
  • Ability to travel up to 80% around the Austin, Texas area to meet with members in their homes, the hospital or in a long-term care setting

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

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 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

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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