1+ months

Social Worker - Lexington or Louisville, KY

Louisville, KY 40202
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  • Job Code
    890881
  • Jobs Rated
    123rd

The Social Worker is responsible to act as a liaison and assists in coordinating resources for the care of health plan members with multiple co-morbidities and/or psychosocial needs. The primary scope is to provide counseling and assistance to patients and their families as requested with personal, financial, ethical and environmental difficulties that predispose patients to illness. The Social Worker acts as an advocate for members and their families linking them to community resources and financial assistance programs for continued growth toward a maximum level of independence. The Social Worker will interact and collaborate with the interdisciplinary care team, which includes physicians, nurses, case managers, pharmacists, laboratory technologists, other social workers, dietitians and other educators.


If you are located in or near Louisville or Lexington, KY, you will have the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements for Model of Care and Center for Medicare and Medicaid Services (CMS) regulations
  • Coordinates outpatient needs related to community resources, financial assistance programs, and long-term activity of daily living needs outside the benefit criteria of the medical insurance coverage
  • Attends member visits with their PCP and specialists as needed and provides related feedback on planned interventions and outcomes of plan of care
  • Identifies and assists with patients with high-risk diagnoses and/or patients with multiple co-morbidities who will benefit from social care coordination, contracts, providers, and facilities
  • Conducts site visits in the home, clinic, and hospital setting. Performs member evaluations in multiple settings, including but not limited to: member's home, PCP/specialists clinic, hospital, and skilled nursing facility
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
  • Along with care team members, reviews the need for and assists with obtaining DME, home health and other resources necessary for the patient and educates them about their community resources and options and advocating on behalf of the patient
  • Takes ownership of the total work process and provides constructive information to minimize problems and increase internal and external customer satisfaction
  • Participates in the development of appropriate QI processes, establishing and monitoring indicators. Takes corrective action when data shows a need to modify management strategies or systems
  • Attends and contribute to staff meetings
  • Adheres to organizational and departmental policies and procedures
  • Seeks ways to improve job efficiency and makes suggestions to the appropriate manager
  • Performs all duties for internal and external customers in a professional and responsible manner
  • Assists in the growth and development of self and associates by sharing special knowledge with others
  • Attends educational offerings to keep abreast of change and comply with licensing requirements
  • Maintains knowledge of the Health Plan Benefits
  • Performs all other related duties as assigned
  • The pace is fast and you'll need to be comfortable managing multiple priorities. You may be required to work in multiple locations, so scheduling flexibility is essential. You must also be able to respond calmly and effectively in emergency situations

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.
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Jobs Rated Reports for Social Worker

Posted: 2020-09-15 Expires: 2020-11-15

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Social Worker - Lexington or Louisville, KY

UnitedHealth Group
Louisville, KY 40202

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Social Worker
123rd2018 - Social Worker
Overall Rating: 123/220
Median Salary: $47,980

Work Environment
Fair
97/220
Stress
High
141/220
Growth
Very Good
44/220
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