Easyservice
Social Worker Care Coordination - Population Health
Work at Home - Virginia
Sponsorship not specified$60k-$301kDetected 4 days ago
NegotiationExcelEHR/EMRPatient CareCommunicationOrganizational Skills
About the role
- Thank you for considering a career at Bon Secours!
- Work as a member of Interdisciplinary Team (IDT) along with the Ambulatory Care Manager (ACM) and Care Coordinator to ensure the assigned patient's individual needs are identified and addressed in a timely manner.
Responsibilities
- Maintain a caseload of patients according to department policies.
- Identify, enroll and manage patients in program for Complex Case Management.
- Collaborate with ACM, PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan.
- Perform situational and family assessment of social determinants of care and develop goals as part of the comprehensive care plan.
- Perform coordination of services for disabled status and/or facilitate placement in post-acute facility for rehabilitation or long term care.
Requirements
- Other Knowledge, Skills and Abilities Required
- Ability to work with individuals, groups and families.
- Familiarity and knowledge of Community Resources.
Nice to have
- Experience with database entry, EMR documentation, Power Point preferred and basic Excel skills.
- Other Knowledge, Skills and Abilities Preferred
Skills
- Strong analytical, data management and computer skills.
Compensation
- $60k-$301k
Benefits
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
- Benefits may vary based on the market and employment status.
- Care Coordination - Population Health Service Organization
- Develop and implement care plans to maximize wellbeing with periodic review and update according to department protocols.
- Perform patient outreach according to established protocols and document in electronic medical record.
- Document all communications with patient and/or care team in electronic medical record.
Equal opportunity
- If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia
- and Emporia, Virginia, which are Affirmative Action and
- Equal Opportunity Employer, please email recruitment@mercy.com.
- If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.
Apply directly at Easyservice →Create a free account for alerts like thisView Easyservice immigration profile
This listing is sourced directly from Easyservice's careers page and normalized into a canonical job model.