Community Social Worker

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🔥 24 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $65.4k - $106.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👫 Community Manager

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GuideWell Source

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🏛️ Government

🏢 Enterprise

Healthcare Insurance • Government • Enterprise

GuideWell Source is a company within the GuideWell Family that focuses on accelerating innovative health solutions to market, transforming and reshaping the health industry. It specializes in healthcare delivery, providing new models and superior outcomes for patients. The company emphasizes consumerism in healthcare, engaging clients in meaningful ways. GuideWell Source offers healthcare insurance, protecting employers and consumers with coverage plans and services. The company also provides administrative and claims processing services for state and federal Medicare and Medicaid programs, establishing itself as a trusted business partner in the healthcare sector with a focus on operational excellence.

📋 Description

• The Community Social Worker (CSW) will work in coordination with the Care Team and other stakeholders by utilizing targeted member outreach to identify and address member's social determinates of health and need for community resources. • Engage/consult members and complete appropriated social work assessment(s) to determine the nature of a member's situation by conducting telephonic/virtual interviews to assess and determine member's medical, psychological, emotional, financial, and social status. • Responsible for identifying barriers to the members care plan. • Assist members with exploring community resources and referring members to appropriate community resources. • Operate as a member advocate utilizing skills that respect issues of cultural considerations for every patient and family. • The CSW will maintain and manage their own member caseload for members received from a daily worklist and serve as a consultant for referrals sent from numerous sources on cases managed by other Care Team members. • Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services and resources. • Use a standardized, evidence based social need/SDoH assessment tool to evaluate and identify member needs. • Identify and screen high risk members that would benefit from coordination of community health related services, behavioral change counseling and refer members to appropriate care programs and other members of the care team. • Assess member’s end of life planning and provide appropriate resources and referrals. • Coordinate care for members as appropriate based on care/treatment plan and benefit limitations. • Educate members and assist with formulating strategies/goals to help prevent disease, disability and or pre-mature death. • Provide consultation to RN care managers, dieticians, pharmacists and LCSWs (behavioral health). • Collaborate and provide consultation support to external stakeholders.

🎯 Requirements

• 3+ years related work experience in Healthcare Industry and Managed Care, assisting with discharge planning, linking to community resources, navigation of financial assistance programs, chronic illness resources, etc. • Related bachelor's degree required Minimum bachelor's degree in social work, sociology or psychology or addition related equivalent work experience. • Extensive knowledge of community resources (local, statewide, national, and international) • Experience with the Healthcare industry and Managed Care • Demonstrated knowledge in Social Work care management • Non-traditional working hours to meet the member's availability and business objectives • Intermediate to Advanced PC skills, experience and/or knowledge of digital engagement tools a plus

🏖️ Benefits

• Medical, dental, vision, life and global travel health insurance; • Income protection benefits: life insurance, short- and long-term disability programs; • Leave programs to support personal circumstances; • Retirement Savings Plan including employer match; • Paid time off, volunteer time off, 10 holidays and 2 well-being days; • Additional voluntary benefits available; • A comprehensive wellness program