11 days old

Director Social Work Licensed Healthcare San Antonio TX

San Antonio, TX 78205
  • Job Code

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)

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic stat that understands and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.

The Director of Social Work is responsible for successfully development and executing all Social Work activities. The position is responsible to provide subject matter expertise in areas including planning, organizing, and directing the administration of the Social Work Program for Care Management, Specialized Clinical Programs, and Palliative Care.  The position provides oversight to ensure activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company.

The Director maintains organizational structure and oversight of procedures, employment, training, and supervision of Social Work staff; to include cultivating new social work leadership. The position directs long-term planning and communication regarding Social Work issues with network physicians; and acts as a resource to all internal and external customers. The position coordinates duties with appropriate personnel to meet operational program needs, ensures compliance with state and federal health plan requirements, Medicare guidelines and NCQA standards; thus implements policy and procedures to maintain corporate and service initiatives.  The position integrates current clinical practice guidelines for care management services.

Primary Responsibilities:

  • Job Scope
    • Accountable for end to end social work process.
    • Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities.
    • Identifies and resolves technical, operational and organizational problems outside own team.
    • Product, service or process decisions are most likely to impact entire functions and/or customer accounts (internal or external).
    • Provides leadership to and is accountable for the performance of managers and/or senior level professional staff.
  • Review and Implement Social Work protocols for staff oversight and development
    • Leverage clinical acumen to provide guidance to staff
    • Assist staff in navigating the medical management system
    • Provide oversight and review of coordination of care
    • Ensure employees are current with clinical licensure and certifications
    • Develop/oversee/deliver operational or technical training Fosters leadership skills for supervisor positions to ensure aligned management of staff to include the development of future leadership candidates
  • Plan, implement, and manager Social Work Program
    • Develop policies, procedures, and guidelines for program; to include priority work process flow
    • Review/approve policy and process changes
    • Evaluate regulatory changes and determine steps needed to implement in program
    • Identify and implement business development opportunities to support growth program
    • Oversee/navigate technology applications utilized in the delivery of program
    • Intervene in resolution of member or employee complaints or issues as necessary
    • Create and implement a business continuity plan to minimize interruptions to the business
    • Promotes communication to members by informing them of updates and revision in policies, using training or orientation opportunities, newsletters, or other available resources such as forum presentations
    • Cultivates relationships with internal and external groups in support of member education and knowledge sharing
  • Ensure compliance of Social Work Program and services
    • Interpret compliance/clinical/medical reports
    • Evaluate compliance with Federal, State, and Local regulatory and organizational guidelines
    • Evaluate programs and services against accreditation standards and contractual requirements
    • Oversee ongoing monitoring and internal auditing against relevant guidelines and standards Implement process improvement activities to address areas of non-compliance or ensure procedures are followed
    • Measure employee/provider performance against internal procedures and protocols
    • Ensure team members address gaps in performance against internal procedures and protocols
  • Monitor and evaluate employee performance and productivity
    • Develop operations program goals
    • Develop and communicate performance metrics and expectations
    • Direct data collection and measurement of outcomes
    • Apply metrics to evaluate services, employee performance, and program outcomes
    • Identify causes of performance deficiencies and determine appropriate follow up actions
    • Drive implementation of best practices and standards
  • Plan and manager operations to ensure financial viability
    • Develop operational budgets for medical and clinical operations
    • Evaluate staffing ratios, stratification of care, overtime, agency usage, or level of position to effectively manage labor expenses
    • Read financial reports, identify reasons for financial performance gaps, and identify opportunities for improved financial performance and enhanced return on investment
    • Collect and review data to evaluate financial outcomes of programs and services
    • Conduct cost/benefit analysis on program to drive efficiencies and identify opportunities to enhance financial viability

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.




Posted: 2020-10-13 Expires: 2020-11-12

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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Director Social Work Licensed Healthcare San Antonio TX

UnitedHealth Group
San Antonio, TX 78205

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