1+ months

Case Management Social Worker - Farmington, CT

Farmington, CT 06032
  • Job Code
    875901

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)

 

ProHealth Physicians, part of OptumCare


If you want to get way ahead in your career, it makes sense to be with an organization that's way ahead of the curve. Formed in 1997, ProHealth Physicians has grown to become Connecticut's leading primary care physician organization. With over 90 locations throughout the state of Connecticut, our family of primary care doctors and specialists care for more than 360,000 people statewide. In fact, ProHealth serves every county and provides roughly ten percent of the primary care delivered to patients in the state. We're leaders in thinking and in serving our communities.  For instance, we're a C.M.S. approved Accountable Care Organization (ACO), covering over 30,000 Medicare patients associated with our community-based primary care providers. We're also nationally recognized as a NCQA Level III Medical Home. That kind of progressive leadership makes us perfect fit for OptumCare and UnitedHealth Group's expanding family of providers. This is a place where you can stay way ahead as you do your life's best work.(sm)

 

The Case Management Social Worker of ProHealth Physicians assists the Medical Management Team and physicians in the on-going monitoring of complex patients.  This position is Monday-Friday with standard office hours. 

 

Primary Responsibilities:

  • Identify psychosocial needs and interventions for patient's condition
  • Proactively help prevent patient ER and acute admissions when possible by emphasizing prevention of exacerbation's and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management
  • Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods
  • Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care
  • Assist in maximizing patient access to quality health care via coordination with PCP's, Specialists, social services, home health, health education, and laboratory services
  • Develop and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
  • Telephonically assess patient's psychosocial status
  • Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
  • Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
  • Provide social work services including, short-term counseling, community resource planning, and crisis intervention
  • Acts as a resource person for other members of the healthcare team
  • Develops and maintains through knowledge of referral resources throughout the service area
  • Report to OCNCT Case Management Nurse variances in patient's condition, medications, or treatment
  • Develop and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
  • Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
  • Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
  • Provide social work services including, short-term counseling, community resource planning, and crisis intervention
  • Acts as a resource person for other members of the healthcare team
  • Develops and maintains through knowledge of referral resources throughout the service area
  • Report to OCNCT Case Management Nurse variances in patient's condition, medications, or treatment
  • Telephonically monitor patient on a regular basis in regards to psychosocial needs, education, and compliance with treatment plan
  • Maintains up to date knowledge of Medicare, Medicaid, and other third party reimbursement sources
  • Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others
  • Refer to health education and other service departments as necessary
  • Complete all required documentation in a timely manner according to department policy
  • Refer patient to outside community resources, classes, education, etc. as appropriate
  • Case closure as appropriate
  • Collect data necessary for OCNCT Case Management reports/QI studies
  • Attend OCNCT Case Management meeting and trainings as appropriate
  • Adheres to all department policies
  • Other duties as needed

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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Posted: 2020-06-01 Expires: 2020-08-01

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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Case Management Social Worker - Farmington, CT

UnitedHealth Group
Farmington, CT 06032

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