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in Hemet, CA

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Hours Full-time, Part-time
Location HEMET, CA
Hemet, California

About this job

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. 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. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)
Primary Responsibilities:

Develop and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
Telephonically assess patient’s psychosocial status
Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
Provide social work services including, short - term counseling, community resource planning, and crisis intervention
Acts as a resource person for other members of the healthcare team
Develops and maintains through knowledge of referral resources throughout the service area
Report to NAMM Case Management Nurse variances in patient’s condition, medications, or treatment
Telephonically monitor patient on a regular basis in regards to psychosocial needs, education, and compliance with treatment plan
Maintains up to date knowledge of Medicare, Medical, and other third party reimbursement sources
Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others.
Refer to health education and other service departments as necessary
Complete all required documentation in a timely manner according to department policy
Refer patient to outside community resources, classes, education, etc. as appropriate
Case closure as appropriate
Collect data necessary for NAMM Case Management reports / QI studies
Attend NAMM Case Management meeting and trainings as appropriate

Requirements

Required Qualifications:

Graduate of an accredited Master’s degree social work program
MSW or LCSW
2+ years of clinical experience with broad range of experience in health care delivery setting (hospital, clinic, physician’s office)
At least one year of social work experience in a healthcare setting
Computer knowledge and proficiency
Access to reliable means of transportation to travel in designated area
Preferred Qualifications:


Excellent interpersonal and communication skills (both written and oral).
Strong critical thinking and decision - making skills
Ability to work in a nurse managed, multi - disciplinary team
North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform. 
 
The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000  specialists and work with the premier hospitals in their respective markets. 
 
 
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.
 
Job Keywords: Social Worker, LCSW, MSW, Care Coordination, home visits, hospice, clinical, care coordinator, complex care, Hemet, Murrieta, Moreno Valley, CA, California
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