Social Worker

Your Health OrganizationMarietta, GA
Onsite

About The Position

The Social Worker plays a vital role as part of the care team within our organization. This role serves as a patient advocate, empowering patients to actively participate in their healthcare decisions and treatment plans by fostering self-awareness, self-advocacy, and coping skills to effectively manage their health conditions and navigate the healthcare system.

Requirements

  • High school diploma or equivalent required.
  • Must be proficient in utilizing technology tools and platforms for remote patient monitoring, telemedicine, and electronic medical records.
  • Ability to read and communicate effectively.
  • Strong written and verbal skills.
  • Basic computer knowledge.
  • Ability to manage and demonstrate effective leadership skills.
  • Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
  • Ability to foster a cooperative work environment.
  • Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
  • Must be able to work flexible hours and travel between offices, facilities, etc.
  • Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.

Nice To Haves

  • An associate degree or bachelor's degree in social work is preferred.
  • A minimum of one year of experience in a healthcare setting preferred.
  • A minimum of one year of experience in social work preferred.

Responsibilities

  • Conduct advance care planning and cognitive assessments to identify patients' needs, strengths, and challenges, including screening for mental health conditions, substance abuse issues, domestic violence, and other social determinants of health.
  • Offer immediate support and intervention for patients experiencing acute mental health crises, including suicidal ideation, self-harm, or emotional distress.
  • Collaborate closely with care team members to coordinate comprehensive care plans that address both medical and psychosocial needs.
  • Facilitate connections between patients and community resources, such as support groups, mental health services, financial assistance programs, transportation services, and home health care agencies.
  • Serve as an advocate for patients to ensure their needs are addressed within the healthcare system and community settings, assisting with access to social services, disability benefits, housing assistance, or legal support.
  • Provide guidance, education, and counseling to patients' families and caregivers to help them navigate the challenges of caring for a loved one.
  • Maintain accurate and confidential documentation of assessments, treatment plans, progress notes, and communication with patients and other healthcare professionals in accordance with legal and ethical standards.
  • Recognize and respect the cultural, ethnic, and socioeconomic diversity of patients and tailoring interventions and treatment approaches to meet their unique needs and preferences.
  • Provide continued education and strive to enroll eligible patients into the Chronic Care Management (CCM) program, accurately documenting CCM activities and working in partnership with the care team to keep CCM care plans up to date.
  • Facilitate communication and coordinate among the patient's care team members to ensure a comprehensive and integrated approach to health care delivery, communicating with providers and staff via phone, email, Teams, Athena, or in-person.
  • Interact with patients via email, patient portal, telephone, text, in-person, etc., to gather necessary information, schedule and confirm appointments, and provide pre-appointment instructions, responding to patient inquiries, resolving scheduling conflicts, and assisting in rescheduling appointments.
  • Foster effective communication between the care team to facilitate coordinated team-based care.
  • Provide exceptional customer service to patients, exhibiting a compassionate and empathetic attitude, and addressing patient concerns, inquiries, and complaints professionally and promptly.
  • Perform general administrative tasks and support other staff as needed, working assigned buckets, ticklers, census lists, and region's scheduling voicemail tasks, and utilizing the company's software systems to enhance patient care and staff productivity.
  • Collaborate with internal and external resources to facilitate and ensure seamless operations.
  • Be available during normal work hours (unless previously approved by direct supervisor); additional hours may be required to complete normal business functions and/or projects.
  • Utilize the company's software systems and update information as required.
  • Participate in coaching calls.
  • Perform other duties as requested or required, in the sole discretion of the Company.
  • Take responsibility for own work in completing tasks and assist others to achieve success.
  • Communicate, endorse, and demonstrate the Company's mission, vision, and values.
  • Ensure prompt and regular attendance.
  • Adhere to standards of behavior, dress code including name tag and approved uniform, personnel department, and company policies.
  • Attend in-services and meetings on a regular basis.
  • Promote a culture of outstanding customer service at all times.
  • Possess the ability to deal tactfully with patients, employees, management, visitors, government agencies, and the general public and maintain an open-door policy for all employees.
  • Possess the ability to make independent decisions when circumstances warrant.
  • Comply with all federal, state, and local laws and regulations.
  • Demonstrate knowledge of and compliance with Patient's Bill of Rights.
  • Be knowledgeable of Medicare guidelines, applicable laws and regulations, and the Company's policy and procedures.
  • Adhere to the Company's Code of Conduct / Ethics.
  • Exercise a high degree of confidentiality regarding patients, personnel, and the company.
  • Be HIPAA compliant.
  • Promote a culture of compliance.
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