AlbuquerqueRecruiter Since 2001
the smart solution for Albuquerque jobs

Case / Disease Management - Social Worker (LISW)

Company: Optum
Location: Albuquerque
Posted on: October 18, 2020

Job Description:

Full Time Case / Disease Management - Social Worker (LISW) Social Worker (LISW), Roma Location

Overview of Position: Co-manages members with case and disease managers to assess, plan, facilitate and monitor options and services required to meet an individual’s healthcare needs, while promoting quality, and cost effective outcomes for members with complex psychosocial needs. Serves as liaison to teammates, Providers and patients as needed.  Responsible for providing clinical social work services to members and families on an outpatient basis including, crisis intervention, short-term case management, and providing information and referrals to community resources. This is performed under the direct supervision of the Medical Director, Care Management.

Essential Functions:

Performs psychosocial evaluations of member’s physical, social and emotional functioning as well as financial and family support as needed.

Develops a treatment plan or plan of care which includes arrangements for referral to services as appropriate.  Assists Care Managers with care coordination and discharge planning for patients with complex discharge needs.

Provides community resource information to case and disease managers, providers, or directly to members or families.

Acts as a consultant to members requiring information on Advanced Directives or Power of Attorney.

Participates as appropriate in scheduled Case and Disease Management Huddles to present information regarding member status, care coordination efforts, resources provided, and to provide guidance to fellow teammates regarding resources for members.

Documents social work interventions by inclusion of reports in medical records and referral management system as needed.

Maintains statistical data on social work treatment plan, intervention and outcomes.

Participates on an assigned basis in educational training for teammates and providers related to the psychosocial aspects of physical and emotional illness/disability.

Acts as a resource to department teammates, organization teammates, and Providers for difficult to manage members.

Maintains current information on all frequently used community resources, financial resources and placement facilities.  Routinely updates resource list and is available to discuss how to resource required services.

Identifies and intervenes with high-risk patients requiring social services.

Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Performs additional duties as assigned.

Education: Required- Master’s degree or higher in healthcare related field and applicable licensure, (i.e. LISW or other applicable licensure demonstrating appropriate scope of practice.)

Preferred- Certified Case Manager

Experience:  Three (3) years of previous job related experience in a healthcare environment.

Preferred- Two (2) years’ experience providing case management and/or utilization review functions within health plan or integrated system.

Required licensure: Required- NM licensure providing ability to perform duties required of position, (i.e. LCSW) Preferred- Utilization Review or Case Management Certificate.

Knowledge, Skills, Abilities: PC proficient; ability to communicate and interact professionally with co-workers, management patients, and Providers;  ability to counsel and/or consult; working knowledge of HMO’s, PPO’s, Medicare, Medicaid, and insurance plans; knowledge of CPT4/ICD 9 & 10/HCPCS codes.

ADDITIONAL REQUIREMENT : Must pass a nationwide criminal history screen through the Caregivers Criminal History Screening Program

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Optum, Albuquerque , Case / Disease Management - Social Worker (LISW), Other , Albuquerque, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Courier
Description: Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city and funnel (more...)
Company: Postmates
Location: Albuquerque
Posted on: 10/21/2020

Deliver Food with Uber Eats
Description: Deliver Food with Uber Eats Albuquerque, NM 2854 C2-157436 Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends (more...)
Company: Uber Eats
Location: Albuquerque
Posted on: 10/21/2020

Part Time Delivery Driver
Description: Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city and funnel (more...)
Company: Postmates
Location: Albuquerque
Posted on: 10/21/2020


Flexible Schedule - Deliver with Uber
Description: Flexible Schedule - Deliver with Uber Albuquerque, NM 2854 C2-73458 Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends (more...)
Company: Uber Eats
Location: Albuquerque
Posted on: 10/21/2020

Restaurant Delivery Driver
Description: Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city and funnel (more...)
Company: Postmates
Location: Albuquerque
Posted on: 10/21/2020

Food Delivery Driver - Postmates
Description: Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city and funnel (more...)
Company: Postmates
Location: Albuquerque
Posted on: 10/21/2020

Deliver with Uber Eats this Fall
Description: Deliver with Uber Eats this Fall Albuquerque, NM 2854 C2-715065 Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends (more...)
Company: Uber Eats
Location: Albuquerque
Posted on: 10/21/2020

Postmates - Earn Extra Cash
Description: Postmates has the largest on-demand fleet in the U.S. with 200,000 Postmates, and an equally extensive network of merchants. While some companies try to build a warehouse outside of a city and funnel (more...)
Company: Postmates
Location: Albuquerque
Posted on: 10/21/2020

Deliver with Uber - Flexible Gig
Description: Deliver with Uber - Flexible Gig Albuquerque, NM 2854 C2-61657 Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends (more...)
Company: Uber Eats
Location: Albuquerque
Posted on: 10/21/2020

Deliver with Uber Eats - Great for Students
Description: Deliver with Uber Eats - Great for Students Albuquerque, NM 2854 C2-688559 Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just (more...)
Company: Uber Eats
Location: Albuquerque
Posted on: 10/21/2020

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Albuquerque RSS job feeds