Job description
Position Requirements
· Bachelor’s Degree: Social work or pursuing degree for same
· Previous experience in caring for chronic disease patients required
· Possesses strong critical thinking skills
· Can pay attention to detail and accuracy of documentation in records
· Demonstrates evidence of effective organization, leadership communication, education collaboration, and counseling skills
· Previous Care Coordination, Case Management, Home Health or Behavior Health experience preferred
· Previous experience with mobilizing community resources, navigating patients through the healthcare continuum, and working with disparate populations preferred
· Ability to speak Spanish preferred
· Ability to identify and implement appropriate patient communication strategies
· Previous experience with health IT systems and data reports preferred
· The demonstrated ability to work constructively with all disciplines related to caring for patients within the community
· Familiarity with community resources
Position competencies
· Core values consistent with a patient/family-centered approach to care
· Demonstrates professional and effective written and verbal communication skills
· Demonstrates a positive, respectful attitude and professional customer service and managing/teaching employees
· Acknowledges patents’ rights on confidentiality issues, maintains patient confidentiality at all times, and adheres to HIPAA guidelines and regulations
· Proactively acts as a patient advocate, responding with empathy and respect to resolve patient/family concerns
· Recognizes and responds to opportunities for improvement
· Demonstrates continual learning skills, effects changes in approach to care based on established, evidence-based practice
· Demonstrates professional practice behavior
· Cultivates effective partnerships, effectively collaborates with all practice providers (physician, Nurse Practitioner, Physician Assistant and other licensed allied health team-members)
· Demonstrates understanding in use of IT resources and patient databases
· Ability to speak clearly and concisely on telephone
· Understand Population Health
Responsibilities
· Meet with patients/families and identify and address various challenges that patient may face from social/environmental/psychological/financial/legal/other perspective that limit ability of patient to fully participate in their care plan
· Coordinate social support programs/transportation/ housing/other to address patient challenges
· Provide educational resources for patient to better understand their treatment plans
· Monitor patient progress and evolve plan as needed
· Work closely with the Care Manager to address patient challenges
Job Type: Full-time
Pay: From $50,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Employee discount
- Health insurance
- Health savings account
- Paid time off
Schedule:
- Monday to Friday
Application Question(s):
- Are you fully vaccinated for COVID 19?
Education:
- Bachelor's (Preferred)
Experience:
- Case management: 2 years (Preferred)
- Social work: 2 years (Preferred)
Language:
- Spanish (Preferred)
License/Certification:
- BSW or LCSW (Required)
Work Location: Multiple Locations
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