Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind *Caring. Connecting. Growing together.  *

　　The Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients’ within their respective healthcare plan. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, SDOH (Social Determinants of Health) and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. Acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member.

　　If you are located in Texas and have the ability to work 80% in the field, you will have the flexibility to work remotely* as you take on some tough challenges.

　　Primary Responsibilities:

　　Perform comprehensive evaluations and document findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)

　　Performs patient assessments in multiple settings to include but not limited to the patient’s home, the PCP/specialists clinic, hospital, and/or skilled nursing facility as needed

　　Understands and plans to assure services provided work within the boundaries of thepatient’s plan eligibility. Coordinatesidentified patient’s needs utilizing federal, state, and local community resources, as available

　　Coordinates with external and internal teams to minimize obstacles and increase inpatient and provider satisfaction

　　Active participation in Performance Improvement (PI) or regional strategic initiatives

　　Active participation instaff and Interdisciplinary Teams (IDT) meetings

　　Adheres to organizational and departmental policies and procedures

　　Maintains a high level of professionalism and adheres to the WellMed Core Values

　　Assumes responsibility for personal and professional development

　　Ensures licensure, certifications, and annual training are maintained and compliant

　　Maintains knowledge of current health plan benefits

　　Performs other duties as assigned

　　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.

　　Required Qualifications:

　　Bachelor of Social Work

　　Current BLS certification or must obtain certification within 30 days of employment hire date

　　3+ years social work experience in a health care environment

　　Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications

　　Reliable transportation for daily travel to various locations as assigned

　　Valid driver’s license within the state of work

　　Proven excellent oral and written communications skills

　　Proven solid organizational skills

　　Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously

　　This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

　　Preferred Qualifications:

　　Masters of Social Work with licensure (LMSW or LCSW or LBSW)

　　Experience working with geriatric and behavioral and mental health patient populations

　　Long Term Care experience

　　Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding

　　Bilingual (English/Spanish) language proficiency

　　*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

　　At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

　　Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

　　UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.