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Case Management Care Coordinator, LCSW

Company: UnitedHealth Group
Location: San Jose
Posted on: September 14, 2023

Job Description:

Opportunities with ProHealth Physicians, part of the Optum family of businesses. When you work at ProHealth Physicians, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind--Caring. Connecting. Growing together.----

Position Overview:--
The role of the Case Management Care Coordinator is to assist the Medical Management Team and physicians in the on-going monitoring of complex patients that includes but is not limited to:--

  • Identify psychosocial needs and interventions for patient's condition--
  • Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management--
  • Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods--
  • Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care--
  • Assist in maximizing patient access to quality health care via coordination with PCPs, Specialists, social services, home health, health education, and laboratory services--
    Position Details:
    • Location:--Telecommuter position, but must be able to travel to Farmington, CT for training/meetings
    • Schedule: Full time, 40 hours/weekly, Monday through Friday, 8:00AM - 4:30PM
      If you are able to travel to Farmington, Connecticut as needed for trainings and meetings and possess active unrestricted CT licensure, you will have the flexibility to work remotely* as you take on some tough challenges.

      Primary Responsibilities:----

      • Assist with development and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
      • Telephonically assess patient psychosocial status----
      • Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
      • Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
      • Provide social work services including, short-term counseling, community resource planning, and crisis intervention
      • Acts as a resource person for other members of the healthcare team
      • Develops and maintains through knowledge of referral resources throughout the service area
      • Report to APNCT Case Management Nurse variances in patient's condition, medications, or treatment
      • Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan
      • Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources
      • Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others
      • Refer to health education and other service departments as necessary
      • Complete all required documentation in a timely manner according to department policy
      • Refer patient to outside community resources, classes, education, etc. as appropriate
      • Case closure as appropriate
      • Collect data necessary for APNCT Case Management reports/studies
      • Attend APNCT Case Management meetings and trainings as appropriate
      • Other duties as needed
        You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.--

        Required Qualifications:--

        • Graduate of an accredited Master's degree social work program
        • Unrestricted current Social Worker license in state of Connecticut
        • Licensed Clinical Social Worker (LCSW)--
        • 3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician's office)
        • 2+ years of experience with health plan care coordination
        • Experience with Electronic Health Records (Allscripts, Epic)
        • Proficient in Microsoft Office Suite, Adobe Products
        • Proven ability to work with a multi-disciplinary team
        • Proven excellent interpersonal and communication skills (both written and oral)
        • Willing or ability to travel up to Farmington CT for training and meetings as needed. Possible travel to other locations at times
          Preferred Qualifications:------

          • Experience in a remote work setting
          • Background in behavioral health--
            The organization reserves the right to modify position responsibilities at any time, due to business necessity.

            Connecticut Residents Only: The salary range for Connecticut residents is $56,300 to $110,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.--

            At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.--------

            Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.--

            OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.--


            Proof of immunity to vaccine-preventable diseases is an employment requirement.--

Keywords: UnitedHealth Group, San Jose , Case Management Care Coordinator, LCSW, Executive , San Jose, California

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