Medical Social Worker

Overview

Medical Social Worker - Clinic Setting Who You Are You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. Your passionate about getting to the root cause of a patient's conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don't want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member. Does this sound like you? If so, we should talk. Who We Are We are a groundbreaking team of healthcare professionals focused on making a major impact in healthcare. We align every aspect of our health plans to support patients seeing our providers; we drive health improvements, create a seamless member experience, and eliminate duplicative costs. We listen to the needs of our patients and our employees, continually working to push beyond the status quo in which the care system manages patients today. For us, it's all in a day's work. Your Role As a medical social worker, you influence and ensure the best clinical care for your patients. You leverage an integrated technology platform and are complimented by an entire team of professionals including registered nurses, nurse care managers, health coaches, dieticians, pharmacists, psychiatrists, social workers, and even cardiologists and podiatrists Primary functions of this role: Serve as a key member of the High-Risk Care Team, in partnership with an NP, RN, and support staff, as well as practice-based care teams, to follow a team-identified panel of patients until their needs have stabilized. Care interventions will primarily be delivered via phone, in the PCP office and/or in the home. Support high risk, high need patients and their families to address barriers to their overall care and management of chronic conditions. Work with patients and caregivers to understand barriers to accessing appropriate care and assist in developing a care plan for chronic condition management and overall care Support care team in executing care plans Meet patients where they are at - both physically and mentally, to support care. Provide support in the home, in facilities, or via phone based on patient need.  Facilitate conversations around goals of care, patient values, and Advance Care Planning Work with external partners such as discharge planners, UM staff, insurance case managers, state agencies such as Medicaid and SNF case managers to facilitate care  Refer patients to appropriate community agencies and resources. Support care team in navigating community referrals. 

Qualifications

• Valid Licensed Master Social Worker (LMSW)
• Master's degree or higher
• Do you have a Master's Degree in Social Work?

• How many years of experience do you have in the medical/clinical field?

Benefits

Company

Our client is a Home Health Care Service company that partners with local Primary Care Doctors to continuously challenge the status quo in care provided for people with Medicare. They focus on the whole care experience. This means improved patient outcomes and it also saves money.