Description

Optum is seeking a Care Coordinator - Social Worker to join our HouseCalls team in Columbia, MD. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

The HouseCalls Clinical Support Team (HCCST) supports Advanced Practice Clinicians in the HouseCalls and Complex Care Management businesses by providing telephonic consultation to plan members and their healthcare providers in a call center environment. This team includes nurse care managers, and social workers.

The Clinical Care Coordinator- Social Worker will report directly to the Manager/and or Director of Clinical Operations. The Social Worker performs telephonic consults to identify and assess available services to meet the social service need of the member. The Social Worker assures that members and families are knowledgeable of potential community resources and how to access them. The Social Worker serves as a resource to clinical services staff in dealing with complex psychosocial issues and accessing community resources.

Primary Responsibilities:

• Performing telephonic social work consultations with members promoting high quality community resources
• Performing telephonic consults with member's PCP and/or physicians whenneeded
• Ensure member has community resources needed
• Documenting clinical consultations and resources given, into internal database
• Maintaining the clinical integrity of programs offered
• Serving as a clinical resource and consultant for other clinicians
• Participating in and contributing to staff meetings and other staff development opportunities and interdepartmental work groups
• Working with Manager to identify system improvements that could be made to drive operational advancements and efficiencies
• Provide cross-coverage support across the team support and assist with special projects, as needed
• Other duties as assigned by Manager or Director

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:

• Master's Degree in Social Work
• Professional License in good standing for respective discipline
• 2+ years professional experience in a social work position with adults in the Medicaid/Medicare population
• Experience with arranging community resources
• Knowledge of healthcare delivery system
• Knowledge of medical terminology
• Computer/typing proficiency to enter/retrieve data in electronic clinical records
• Proficient with Microsoft Word, Excel, Outlook
• Proven excellent written and verbal communication skills
• Proven solid interpersonal skills
• Ability to work independently, as well as a member of a team
• Dedicated work area established that is separate from other living area and provides information privacy
• Live in a location that can receive UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Telephonic member engagement experience
• Knowledge of CMS regulations, Medicare and Medicaid
• Bilingual Spanish

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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