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UnitedHealth Group Social Worker Care Coordinator - South Austin, TX in Austin, Texas

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

The Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients’ within their respective healthcare plan. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, SDOH (Social Determinants of Health) and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. Acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member.

This position will require the ability to travel to patient homes in the South Austin, Hays and Bastrop area. The work hours will be Monday - Friday: 8am-5pm.

Primary Responsibilities:

  • Perform comprehensive evaluations and document findings in a concise / comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)

  • Perform patient assessments in multiple settings to include but not limited to the patient’s home, the PCP / specialists clinic, hospital, and/or skilled nursing facility as needed

  • Understand and plans to assure services provided work within the boundaries of the patient’s plan eligibility

  • Coordinate identified patient’s needs utilizing federal, state, and local community resources, as available

  • Coordinate with external and internal teams to minimize obstacles and increase patient and provider satisfaction

  • Active participation in Performance Improvement (PI) or regional strategic initiatives

  • Active participation in staff and Interdisciplinary Teams (IDT) meetings

  • Adhere to organizational and departmental policies and procedures

  • Maintain a high level of professionalism and adheres to the WellMed Core Values

  • Assume responsibility for personal and professional development

  • Ensure licensure, certifications, and annual training are maintained and compliant

  • Maintain knowledge of current health plan benefits

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.

Required Qualifications:

  • Bachelor of Social Work with licensure (LBSW) with a minimum of 3 years’ experience beyond the required years of experience

  • Active licensure as required in the applicable state of employment

  • 3+ years of social work experience in a health care environment

  • Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs / applications

  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor’s diagnosis of disease

  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • Master of Social Work with licensure (LMSW)

  • Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding

  • Experience working with geriatric and behavioral and mental health patient populations

  • Long Term Care experience

  • Bilingual (English / Spanish) language proficiency

  • Excellent oral and written communications skills

  • Solid organizational skills

  • Able to prioritize, plan, and handle multiple tasks / demands simultaneously

Physical & Mental Qualifications:

  • Ability to lift up to 10 pounds

  • Ability to push or pull heavy objects using up to 25 pounds of force

  • Ability to sit for extended periods of time

  • Ability to stand for extended periods of time

  • Ability to use fine motor skills to operate office equipment and/or machinery

  • Ability to properly drive and operate a company vehicle

  • Ability to receive and comprehend instructions verbally and/or in writing

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

Job Keywords: Social Worker, Care Coordinator, WellMed, Austin, TX, Texas