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Job Details
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere. As a team member of our HouseCalls product, we provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being. We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. The HouseCalls Clinical Support Team (HCCST) supports Advanced Practice Clinicians in the HouseCalls and Complex Care Management businesses by providing telephonic consultation to plan members and their healthcare providers in a call center environment. This team includes care coordinators, nurse care managers, pharmacists, and social workers. The Clinical Care Coordinator- Social Worker will report directly to the Supervisor of Clinical Operations. The Social Worker performs telephonic consults to identify and assess available services to meet the social service need of the member. The Social Worker assures that members and families are knowledgeable of potential community resources and how to access them. The Social Worker serves as a resource to clinical services staff in dealing with complex psychosocial issues and accessing community resources. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
- Performing telephonic social work consultations with members promoting high quality community resources.
- Performing telephonic consults with member’s PCP when needed.
- Developing a plan of care that details actions of the member and/or provider based on the social work assessment.
- Documenting clinical consultations, including the plan of care, into internal database.
- Maintaining the clinical integrity of programs offered.
- Serving as a clinical resource and consultant for other clinicians.
- Participating in and contributing to staff meetings and other staff development opportunities and interdepartmental work groups.
- Working with Supervisor to identify system improvements that could be made to drive operational advancements and efficiencies
- Provide cross-coverage support across the team support and assist with special projects, as needed.
- Other duties as assigned by Supervisor or Manager.
- Master’s degree in social work
- Professional Social Work License in good standing
- 2+ years professional experience in a social work position with geriatric adults/Medicare population
- Knowledge of healthcare delivery system
- Computer/typing proficiency to enter/retrieve data in electronic clinical records
- Proficient with Microsoft Word, Excel, Outlook
- Knowledge of medical terminology
- Ability to work Monday from Friday, 9am EST to 5:30pm EST
- Bilingual Spanish
- Telephonic member engagement experience
- Knowledge of CMS regulations, Medicare and Medicaid
- Solid interpersonal skills
- Ability to work independently, as well as a member of a team
- Excellent written and verbal communication skills
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more