Social Worker - LSCW - Remote

Full-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

Join us and help people live healthier lives while doing u00A0 your life's best work.(sm) u00A0

Positions in this function co-manages members with case and disease managers to assess, plan, facilitate and monitor options and services required to meet an individuals healthcare needs, while promoting quality, and cost-effective outcomes for members with complex psychosocial needs.

Serves as liaison to teammates, Providers and patients as needed. u00A0Responsible for providing clinical social work services to members and families on an outpatient basis including, crisis intervention, short-term case management, and providing information and referrals to community resources.

This is performed under the direct supervision of the Medical Director, Care Management. Adheres to policies, procedures and regulations to ensure compliance and patient safety.

u00A0Participation in Compliance and other important training is a condition of employment.

If you are located in Kansas City Metro, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities :

  • Performs psychosocial evaluations of members physical, social and emotional functioning as well as financial and family support as needed
  • Conducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation / engagement
  • Develops a treatment plan or plan of care which includes arrangements for referral to services as appropriate. u00A0Assists Care Managers with care coordination and discharge planning for patients with complex discharge needs
  • Provides community resource information to case and disease managers, providers, or directly to members or families
  • Acts as a consultant to members requiring information on Advanced Directives or Power of Attorney
  • Participates as appropriate in scheduled Case and Disease Management Huddles to present information regarding member status, care coordination efforts, resources provided, and to provide guidance to fellow teammates regarding resources for members
  • Documents social work interventions by inclusion of reports in medical records and referral management system as needed
  • Maintains statistical data on social work treatment plan, intervention and outcomes
  • Participates on an assigned basis in educational training for teammates and providers related to the psychosocial aspects of physical and emotional illness / disability
  • Acts as a resource to department teammates, organization teammates, and Providers for difficult to manage members
  • Maintains current information on all frequently used community resources, financial resources and placement facilities.

u00A0Routinely updates resource list and is available to discuss how to resource required services

  • Identifies and intervenes with high-risk patients requiring social services
  • Uses, protects, and discloses The Medical Group patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Performs additional duties as assigned

Youll 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 :

  • Bachelors degree or higher in healthcare related field and applicable licensure, (i.e. LCSW or other applicable licensure demonstrating appropriate scope of practice.)
  • KS and MO licensure providing ability to perform duties required of position, (i.e. LCSW)
  • Current BLS Certification
  • 3+ years of job-related experience in a healthcare environment
  • PC proficient; ability to communicate and interact professionally with co-workers, management patients, and Providers; ability to counsel and / or consult;

working knowledge of HMOs, PPOs, Medicare, Medicaid, and insurance plans; knowledge of CPT4 / ICD 9 & 10 / HCPCS codes

Valid KS or MO Driver's license

Preferred Qualifications :

  • Masters degree u00A0
  • Certified Case Manager
  • Utilization Review or Case Management Certificate
  • 2+ years of experience providing case management and / or utilization review functions within health plan or integrated system

Physical Demands :

  • Standing -Frequently
  • Sitting - Frequently
  • Walking - Frequently
  • Kneeling / Crouching - Occasionally
  • Lifting - Occasionally - 1 Medium to 50 lbs.

Careers at OptumCare. u00A0 We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals.

Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all.

Join us and learn why there is no better place to do u00A0 your life's best work.(sm) u00A0

OptumCare is committed to creating an environment where physicians focus on what they do best : care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare.

Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care.

OptumCares support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy

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 is an 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. u00A0

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. u00A0

Apply Now

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Join us and help people live healthier lives while doing u00A0 your life's best work.(sm) u00A0

Positions in this function co-manages members with case and disease managers to assess, plan, facilitate and monitor options and services required to meet an individuals healthcare needs, while promoting quality, and cost-effective outcomes for members with complex psychosocial needs.

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This is performed under the direct supervision of the Medical Director, Care Management. Adheres to policies, procedures and regulations to ensure compliance and patient safety.

u00A0Participation in Compliance and other important training is a condition of employment.

If you are located in Kansas City Metro, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities :

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  • Conducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation / engagement
  • Develops a treatment plan or plan of care which includes arrangements for referral to services as appropriate. u00A0Assists Care Managers with care coordination and discharge planning for patients with complex discharge needs
  • Provides community resource information to case and disease managers, providers, or directly to members or families
  • Acts as a consultant to members requiring information on Advanced Directives or Power of Attorney
  • Participates as appropriate in scheduled Case and Disease Management Huddles to present information regarding member status, care coordination efforts, resources provided, and to provide guidance to fellow teammates regarding resources for members
  • Documents social work interventions by inclusion of reports in medical records and referral management system as needed
  • Maintains statistical data on social work treatment plan, intervention and outcomes
  • Participates on an assigned basis in educational training for teammates and providers related to the psychosocial aspects of physical and emotional illness / disability
  • Acts as a resource to department teammates, organization teammates, and Providers for difficult to manage members
  • Maintains current information on all frequently used community resources, financial resources and placement facilities.

u00A0Routinely updates resource list and is available to discuss how to resource required services

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  • Uses, protects, and discloses The Medical Group patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Performs additional duties as assigned

Youll 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 :

  • Bachelors degree or higher in healthcare related field and applicable licensure, (i.e. LCSW or other applicable licensure demonstrating appropriate scope of practice.)
  • KS and MO licensure providing ability to perform duties required of position, (i.e. LCSW)
  • Current BLS Certification
  • 3+ years of job-related experience in a healthcare environment
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working knowledge of HMOs, PPOs, Medicare, Medicaid, and insurance plans; knowledge of CPT4 / ICD 9 & 10 / HCPCS codes

Valid KS or MO Driver's license

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  • Certified Case Manager
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  • 2+ years of experience providing case management and / or utilization review functions within health plan or integrated system

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  • Sitting - Frequently
  • Walking - Frequently
  • Kneeling / Crouching - Occasionally
  • Lifting - Occasionally - 1 Medium to 50 lbs.

Careers at OptumCare. u00A0 We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals.

Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all.

Join us and learn why there is no better place to do u00A0 your life's best work.(sm) u00A0

OptumCare is committed to creating an environment where physicians focus on what they do best : care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare.

Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care.

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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.

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OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. u00A0

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