Social Worker Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The role of the Case Management Care Coordinator (Social Worker) is to assist the Medical Management team and physicians in the on-going monitoring of complex patients that includes but is not limited to: 

• Identify psychosocial needs and interventions for patient’s condition 

• Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management 

• Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods 

• Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care 

• Assist in maximizing patient access to quality health care via coordination with PCPs, Specialists, social services, home health, health education, and laboratory services 

Primary Responsibilities:

• Assist with development and maintain social service program, drafting supporting policies, procedures, and guidelines for the program 
• Telephonically assess patient 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 for other members of the healthcare team 
• Develops and maintains thorough knowledge of referral resources throughout the service area 
• Report to Case Management Nurse variances in patient’s condition, medications, or treatment 
• Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan 
• Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources 
• Provides positive customer relations 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 

   

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:

• Willing to accept: graduate of an accredited Master’s degree Social Work program. Or, Bachelor’s in Social work with 5+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician’s office) 
• Licensed Clinical Social Worker (LCSW) 
• Unrestricted current NY Social Worker license
• 3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician’s office) 
• 2+ years of experience with health plan care coordination 
• Experience with Electronic Health Records 
• Proficient in Microsoft Office Suite, Adobe Products 
• Proven excellent interpersonal and communication skills (both written and oral)
• Proven solid critical thinking and decision-making skills 
• Proven ability to travel to home office as necessary for training, meetings, or as requested by Supervisor/Manager 

Preferred Qualifications:

• Experience in a remote/telecommuter work setting 
• Background in behavioral health 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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 $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

UnitedHealth Group 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.

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