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UnitedHealth Group Social Worker LMSW - Houston, TX in Houston, 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)

This position will require the ability to travel up to 25% in the field to patient homes in the Houston area and reporting to the office for meetings as business needs. This is an office based position and the office is located at: 4700 W Sam Houston Parkway N. Houston, Texas. The office hours are Monday - Friday: 8am-5pm.

We have 2 openings! Now is the time to apply.

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.

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

  • Coordinate 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

  • Attend member visits with their PCP and specialists as needed and provides related feedback on planned interventions and outcomes of plan of care

  • Identify and assist with patients with high-risk diagnoses and/or patients with multiple co-morbidities who will benefit from social care coordination, contracts, providers, and facilities

  • Conduct site visits in the home, clinic, and hospital setting

  • Perform 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

  • Take ownership of the total work process and provides constructive information to minimize problems and increase internal and external customer satisfaction

  • Participate in the development of appropriate QI processes, establishing and monitoring indicators

  • Take corrective action when data shows a need to modify management strategies or systems

  • Attend and contribute to staff meetings

  • Adhere to organizational and departmental policies and procedures

  • Seek ways to improve job efficiency and makes suggestions to the appropriate manager

  • Perform all duties for internal and external customers in a professional and responsible manner

  • Assist in the growth and development of self and associates by sharing special knowledge with others

  • Attend educational offerings to keep abreast of change and comply with licensing requirements

  • Maintain knowledge of the Health Plan Benefits

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.

Required Qualifications:

  • Master’s degree in Social Work (LMSW)

  • Current unrestricted Texas LMSW license

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

  • Proficient in PC software computer skills such as Microsoft Word, Excel, Power Point, and other departmental specific programs / applications

  • Ability and willingness to travel (locally and non-locally) as determined by business needs

  • Reliable transportation that will enable you to travel to client and / or patient sites within a designated area

  • 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:

  • Knowledge of disease management, managed care, medical terminology, referral process, claims, and ICD-9 and CPT coding

  • Experience working with geriatric and psychiatric patient populations

  • Bilingual (English / Spanish) language proficiency

  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills

  • Independent problem identification / resolution and decision-making skills

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

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 380,000+ 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: LMSW, MSW, social worker, field, telephonic, Medicare, geriatric, Houston, TX, Texas

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