Field Service Coordinator Social Worker - Kona, HI - Telecommuter

 
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)
 
In this role, you will identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. You will be 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. At times, your patience may be challenged. But in the end, your confidence, decisiveness and perseverance will help you positively impact our patient lives, and ensure more positive outcomes for all.
 
What makes your clinical career greater with Optum? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
 
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: http://uhg.hr/SocialWorkerRJP
 
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

Required Qualifications:

Bachelor's level degree in Social Work or other related field
Current, unrestricted Social Worker license in the State of Hawaii (LSW, LCSW, LBSW)
At least one (1) year experience working with Medicaid/Medicare populations, preferably in long term care or HCBS settings
At least one (1) year of clinical or service coordination experience applicable to the managed care population
Proficiency using a PC in a Windows environment, including MS Word
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, 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. In addition, employees in certain positions are subject to random drug testing.
 
Job Keywords: Social Worker, LCSW, LBSW, LSW, Managed Care, Medicaid, Medicare, Kona, HI, Hawaii, Telecommute, Telecommuting, Telecommuter