Social Worker
The Social Worker is responsible for the navigation and advocacy of identified members stratified relevant to their practice.
These members require coordinated care and integration into multiple health and social systems.
This may include providing the member with information and assistance to access a wide spectrum of services directed at social, medical/behavioral and lifestyle interventions to promote health and wellness and support individualized goal attainment through care planning and self- management.
Required Social Work or related undergraduate degree with active licensure as a social worker in Ohio or West Virginia upon hire.
All licensed staff are expected to hold active licenses in both Ohio and West Virginia by the end of their 90-day probationary period with demonstrated compliance with licensure and Board of Social Workers continuing education policy throughout hire.
Relevant experience in a hospital, skilled nursing facility, outpatient unit or related setting.
Excellent oral, written, telephonic and interpersonal skills to balance independent and teamwork environments.
Demonstrated knowledge of Microsoft Office programs.
Flexibility, ability to multi-task and work in a fast-paced environment and adapt to changing processes.
Proficient keyboarding skills and computer literacy with the ability to navigate through multiple systems.
Desired Social Work or related undergraduate degree with active licensure as a social worker in Ohio or West Virginia upon hire.
All licensed staff are expected to hold active licenses in both Ohio and West Virginia by the end of their 90-day probationary period with demonstrated compliance with licensure and Board of Social Workers continuing education policy throughout hire.
Relevant experience in a hospital, skilled nursing facility, outpatient unit or related setting.
Excellent oral, written, telephonic and interpersonal skills to balance independent and teamwork environments.
Demonstrated knowledge of Microsoft Office programs.
Flexibility, ability to multi-task and work in a fast-paced environment and adapt to changing processes.
Proficient keyboarding skills and computer literacy with the ability to navigate through multiple systems.
Responsibilities Social Workers are responsible for reporting any changes in licensure (e.
g.
, application declined/denied; license revoked/suspended or lapsed; notification of an investigation by licensing board; becoming subject to disciplinary action by a licensing board) to their direct supervisor through their term of employment.
Identifies members at risk for psychosocial needs related to health care status through direct communication with hospital social workers and discharge planners, network practitioners, The Health Plan staff, and The Health Plan members or supportive others.
Completes contacts via telephone calls, as appropriate, to follow-up on referrals received, assesses for psychosocial needs and provides concrete or supportive interventions.
Assists The Health Plan members and/or their supportive others, The Health Plan staff, or practitioners in making community resource referrals.
Also provides appropriate follow-up regarding the outcome of a referral.
Performs research to identify appropriate community resources and maintains information of available resources to meet various member needs.
Completes accurate and timely documentation of contacts, needs assessments, interventions and outcomes in Case Tracker.
Researches and obtains member information Collaborates with Health Plan staff in providing practitioner and facility education regarding available support services to assist members with complex care needs.
Works with The Health Plan staff to develop and implement programming for social intervention consistent with identified needs of specific member populations i.
e.
Medicare and Medicaid.
Maintains a level of competency to deal with chronic disease navigation and health maintenance issues by attendance at regularly scheduled health education meetings.
Strives to improve quality in all areas of responsibility and cooperate with all departments to improve quality throughout The Health Plan.
Serves as assigned on departmental or company committees.
Promotes communication, both internally and externally, to enhance effectiveness of medical management services.
Identifies opportunities for improvement in systems, processes, functions, programs, procedures and makes recommendations to the Assistant Director, Medical Management.
Prioritizes assignments appropriately and maintains flexibility as new priorities arise.
Participates in Grand Rounds, Transitional Care and Post Discharge Outreach.
Recommended Skills Assessments Computer Literacy Health Education Interpersonal Skills Medicaid Medicare Estimated Salary: $20 to $28 per hour based on qualifications.
These members require coordinated care and integration into multiple health and social systems.
This may include providing the member with information and assistance to access a wide spectrum of services directed at social, medical/behavioral and lifestyle interventions to promote health and wellness and support individualized goal attainment through care planning and self- management.
Required Social Work or related undergraduate degree with active licensure as a social worker in Ohio or West Virginia upon hire.
All licensed staff are expected to hold active licenses in both Ohio and West Virginia by the end of their 90-day probationary period with demonstrated compliance with licensure and Board of Social Workers continuing education policy throughout hire.
Relevant experience in a hospital, skilled nursing facility, outpatient unit or related setting.
Excellent oral, written, telephonic and interpersonal skills to balance independent and teamwork environments.
Demonstrated knowledge of Microsoft Office programs.
Flexibility, ability to multi-task and work in a fast-paced environment and adapt to changing processes.
Proficient keyboarding skills and computer literacy with the ability to navigate through multiple systems.
Desired Social Work or related undergraduate degree with active licensure as a social worker in Ohio or West Virginia upon hire.
All licensed staff are expected to hold active licenses in both Ohio and West Virginia by the end of their 90-day probationary period with demonstrated compliance with licensure and Board of Social Workers continuing education policy throughout hire.
Relevant experience in a hospital, skilled nursing facility, outpatient unit or related setting.
Excellent oral, written, telephonic and interpersonal skills to balance independent and teamwork environments.
Demonstrated knowledge of Microsoft Office programs.
Flexibility, ability to multi-task and work in a fast-paced environment and adapt to changing processes.
Proficient keyboarding skills and computer literacy with the ability to navigate through multiple systems.
Responsibilities Social Workers are responsible for reporting any changes in licensure (e.
g.
, application declined/denied; license revoked/suspended or lapsed; notification of an investigation by licensing board; becoming subject to disciplinary action by a licensing board) to their direct supervisor through their term of employment.
Identifies members at risk for psychosocial needs related to health care status through direct communication with hospital social workers and discharge planners, network practitioners, The Health Plan staff, and The Health Plan members or supportive others.
Completes contacts via telephone calls, as appropriate, to follow-up on referrals received, assesses for psychosocial needs and provides concrete or supportive interventions.
Assists The Health Plan members and/or their supportive others, The Health Plan staff, or practitioners in making community resource referrals.
Also provides appropriate follow-up regarding the outcome of a referral.
Performs research to identify appropriate community resources and maintains information of available resources to meet various member needs.
Completes accurate and timely documentation of contacts, needs assessments, interventions and outcomes in Case Tracker.
Researches and obtains member information Collaborates with Health Plan staff in providing practitioner and facility education regarding available support services to assist members with complex care needs.
Works with The Health Plan staff to develop and implement programming for social intervention consistent with identified needs of specific member populations i.
e.
Medicare and Medicaid.
Maintains a level of competency to deal with chronic disease navigation and health maintenance issues by attendance at regularly scheduled health education meetings.
Strives to improve quality in all areas of responsibility and cooperate with all departments to improve quality throughout The Health Plan.
Serves as assigned on departmental or company committees.
Promotes communication, both internally and externally, to enhance effectiveness of medical management services.
Identifies opportunities for improvement in systems, processes, functions, programs, procedures and makes recommendations to the Assistant Director, Medical Management.
Prioritizes assignments appropriately and maintains flexibility as new priorities arise.
Participates in Grand Rounds, Transitional Care and Post Discharge Outreach.
Recommended Skills Assessments Computer Literacy Health Education Interpersonal Skills Medicaid Medicare Estimated Salary: $20 to $28 per hour based on qualifications.
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