Social Worker

MemorialCare•Fountain Valley, CA

9d•Onsite

About The Position

In collaboration with Physician Leaders, Directors, Department Manager, and Supervisors. The Social Worker is responsible for supporting activities of MemorialCare Medical Foundations (MCMF) Care Management Program. Activities include but not limited to supporting patients/family regarding benefits, community resources, and referrals for social and/or behavioral health needs. This position will support patients while supporting the strategic goals of the MemorialCare Medical Foundation. Provide Social Worker support in the Outpatient settings (PCP office/Specialty office, etc.) and personnel serving MCMF Managed Care, IPA and ACO populations. Adherent to regulatory compliance, contracted, delegated and non-delegated health plans supporting patient populations including but not limited to Medicare Advantage, Commercial, PPO, and ACO. Provide evidence-based clinical care, patient-centered care, promoting efficiency in the delivery of value-based care and quality per scope and licensure. Utilize Social Worker principles in the delivery of care. Be able to assist the patient in a sensitive and supportive manner, while acting as an advocate on behalf of the patient.

Requirements

2+ years of Social Worker Health Care related experience required.
Working knowledge of NCQA (National Committee for Quality Assurance) SNP (Special Needs Plans); DMHC (Department of Managed Health Care), and other managed care regulatory requirements required.
Working knowledge of various software programs including: MS Excel, MS Word, MS Project, PowerPoint, MS Outlook/Office, SharePoint and Adobe.
Work experience in an Electronic Medical Record, required.
Master’s degree in Social Work required.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customer or employees of the organization.
Ability to apply commonsense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
Proficient on Microsoft Word, Excel, Outlook and PowerPoint.
Strong oral and written communication and research/problem solving skills.
Attention to detail and accuracy.
Ability to meet deadlines.
Excellent interpersonal skills with a focus on internal/external customer satisfaction and teamwork.
Proven dedication to quality, teamwork, customer service and professionalism.

Nice To Haves

Bilingual in Spanish or another language preferred.
Licensed Clinical Social Worker (LCSW) preferred.

Responsibilities

Supporting activities of MemorialCare Medical Foundations (MCMF) Care Management Program.
Supporting patients/family regarding benefits, community resources, and referrals for social and/or behavioral health needs.
Providing Social Worker support in Outpatient settings (PCP office/Specialty office, etc.) and personnel serving MCMF Managed Care, IPA and ACO populations.
Adhering to regulatory compliance, contracted, delegated and non-delegated health plans supporting patient populations including but not limited to Medicare Advantage, Commercial, PPO, and ACO.
Providing evidence-based clinical care, patient-centered care, promoting efficiency in the delivery of value-based care and quality per scope and licensure.
Utilizing Social Worker principles in the delivery of care.
Assisting the patient in a sensitive and supportive manner, while acting as an advocate on behalf of the patient.
Being at work and being on time.
Following company policies, procedures and directives.
Maintaining a strict degree of confidentiality as related to HIPPA and Compliance.
Interacting in a positive and constructive manner as a member of the healthcare team.
Prioritizing, and multitasking.
Supporting the organization’s goals and mission statement in a professional manner.