Community Based Health Manager - MSW LSW
Community Based Health Manager - MSW LSW
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1 Vacancy
Job Description
At Virtua Health we exist for one reason to better serve you. That means being here for you in all the moments that matter striving each day to connect you to the care you need. Whether thats wellness and prevention experienced specialists lifechanging care or something inbetween we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14000 colleagues including over 2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and techniques to provide exceptional care close to home. A Magnetrecognized health system ranked by U.S. News and World Report weve received multiple awards for quality safety and outstanding work environment.
In addition to five hospitals seven emergency departments seven urgent care centers and more than 280 otherlocations were committed to the wellbeing of the community. That means bringing lifechanging resources and health services directly into our communities through ourEat Well food access program telehealth home health rehabilitation mobile screenings paramedic programs and convenient online scheduling. Were also affiliated with Penn Medicine for cancer and neurosciences and the Childrens Hospital of Philadelphia for pediatrics.
Location:
Lippincott 301 Lippincott DriveEmployment Type:
EmployeeEmployment Classification:
RegularTime Type:
Full timeWork Shift:
1st Shift (United States of America)Total Weekly Hours:
40Additional Locations:
Job Information:
Virtuas primary care offices serve patients across five counties offering broad regional impact while maintaining a local collaborative team environment.
*Geriatric Behavioral Health and/or LGBTQIA experience a preferred.
Summary:
Responsible for the assessment planning implementation monitoring and evaluation of case management services through the appropriate utilization of resources. Application of appropriate medical necessity tools to maintain compliance achieve cost effective care and positive patient outcomes. Utilizes clinical assessment critical thinking and decision making to formulate coordination of care with a multidisciplinary team address patient plans of care and transition needs. Provides support to healthcare team members identifying highrisk patients with complex chronic conditions who require care coordination coaching supervision intervention and/or support. Facilitates ongoing patient communication and engagement care planning review patient goals supports discharge needs including social resources food insecurity financial insecurity and transportation. Networks with local/community services to identify appropriate resources for patient and family support. Facilitates patient handoff from postacute service to the community for selfmanagement.
Position Responsibilities:
Assessment Conducts comprehensive assessments for chronic disease high risk patients using a standardized tool; develops a patient centered individualized plan of care including patient goals and addresses patients psychosocial and educational needs. Identifies psychological social financial spiritual and behavioral barriers that may interfere with the patients treatment plans and outcomes.
Care Coordination Coordinates appropriate care through assessment and patient advocacy. Communicates and educates patient family and healthcare team on the plan of care and transition options ensuring patient freedom of choice. Makes appropriate referrals within the scope of available benefits to facilitate a patientcentered individualized plan of care. Knowledgeable of community resources and facilitates appropriate services needed to meet needs of patient such as DME HC Meals on Wheels transportation medical insurance etc.
Quality Understands quality valuebased metrics and preventative screening associated with chronic disease management.
Communication Communicates effectively with providers and care team the patient centered individual plan of care and assessment needs. Coaches the patient/care giver to meet patientcentered individual plan of care goals.
Documentation Appropriate and complete documentation of assessments patient centered individualized plan of care including treatment goals and patient/care giver education in patient record. Documents updates in treatment goals and preventative interventions in patient record. Follows Virtua Health and National Association of Social Workers (NASW) guidelines for documentation while upholding patient confidentiality.
Compliance Understands and applies applicable federal and state regulatory requirements.
Participates in organizational improvement activities including patient satisfaction teams reduction in patient hospital utilization departmental/divisional teams and community events.
Position Qualifications Required / Experience Required:
Required: Must be a Licensed Social Worker
Excellent verbal and written communication skills problem solving critical thinking organizational skills and conflict resolution.
Preferred: UR/CM/QM experience or 3 years experience as Clinical Social Worker. Knowledge of quality metrics. Geriatric Behavioral Health and/or LGBTQIA experience a preferred.
Competent computer and technology experience
Basic understanding of Medicare Medicaid and managed care.
Required Education:
Graduate of an approved School of Social Work with a masters degree.
Training / Certification / Licensure:
Licensure from the State of New Jersey as a Social Worker.
Required Experience:
Manager
Employment Type
Full-Time
