Social Worker – Care Coordination, Population Health

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🔥 9 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $26 - $41 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Social Worker

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Easyservice Italia

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📋 Description

• Provide clinical care management services to identified eligible patients • Coordinate care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care • Collaborate with Interdisciplinary Team (IDT) along with Ambulatory Care Manager (ACM) and Care Coordinator • Perform standardized comprehensive needs assessment, identifying and addressing barriers to care • Develop and implement care plans to maximize wellbeing with periodic review and update • Collaborate with ACM, PCPs, Specialists, and Hospitalists to implement a patient-centered care plan • Perform situational and family assessment of social determinants of care • Act as patient advocate to address primary physical and socioeconomic needs • Document all communications with patient and/or care team in electronic medical record

🎯 Requirements

• Bachelor’s Degree (required) • Bachelor’s or Master’s Degree in Social Work (preferred) • Master’s Degree or Licensure as required by state of practice (required) • Case Management certification, LSW or LCSW (preferred) • 2-3 years acute care, home health or case management experience • Excellent interpersonal communication and negotiation skills • Strong analytical, data management and computer skills • Demonstrate basic knowledge of healthcare and health education across the lifespan in a practice health setting • Ability to work with individuals, groups and families • Familiarity and knowledge of Community Resources • Flexibility to work non-traditional hours • Works well in a Team Setting

🏖️ Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support