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in Waimea, HI

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Hours Full-time, Part-time
Location Waimea, HI
Waimea, Hawaii

About this job

$3,000.00 Sign-On Bonus!


 


 


In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm)


 


Positions in this function include BSW/LSW roles that identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members.


 


To get better insight to this role and determine if it is the right fit for you, click here to view the Realistic Job Preview:  


 


Primary Responsibilities:



  • Conduct comprehensive member assessments

  • Engage members either face to face or telephonically to have a discussion about their health

  • Collaborate with member to create solutions to overcome barriers to achieving health care goals

  • Provide individualized education on preventative healthcare measures

  • Review plan benefits and identify appropriate programs and services based on health needs and benefits

  • Engage member/providers to participate in the assessment process and collaboratively develop plan of care based on their individual needs, preferences, and objectives

  • Coordinate member access to health-related programs, services, and/or providers

  • Document information in relevant systems

  • Utilize techniques to help member identify and understand intrinsic goals

  • Coordinate with clinical staff to facilitate member care and/or services

  • Facilitate member choice

  • Determine and assist in maintaining member eligibility

Requirements

Required Qualifications:



  • Bachelors of Social Work

  • Current, unrestricted Social Worker license in the State of Hawaii (LSW, LCSW, LBSW)

  • At least one year experience working with Medicaid/Medicare populations, preferably in long term care or HCBS settings

  • At least one year of clinical or service coordination experience applicable to the managed care population

  • Proficient in the use of software applications including, but not limited to MS Office Suite (Outlook, PowerPoint, Excel, Word, Project)

  • Reliable vehicle, current and unrestricted driver's license, and proof of auto insurance

Preferred Qualifications:



  • Experience in field-based case management

  • Experience in Utilization Management (acute and/or HCBS)

  • Master's in Social Work

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM




Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.


 


Job Keywords: Social Worker, LCSW, LBSW, LSW, Managed Care, Medicaid, Medicare, Kauai, HI, Hawaii