Social Worker Clinical Care Coordinator

    • Job Tracking ID: 512635-584463
    • Job Location: Memphis, TN
    • Job Level: Mid Career (2+ years)
    • Level of Education: Masters Degree
    • Job Type: Full-Time/Regular
    • Date Updated: September 21, 2017
    • Years of Experience: 2 - 5 Years
    • Starting Date: October 30, 2017
    • PCN: ADS0308
    • Position: Social Worker Clinical Care Coordinator
    • Date: 7/25/17
    • FLSA Status: Exempt
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Job Description:

SUMMARY:

The Social Worker Clinical Care Coordinator provides coordination, education, and outreach services to patients and their families/guardians. The Social Worker Clinical Care Coordinator supports the delivery of care coordination/case management services by removing barriers to the process if they fall within the realm of social work and enlists community resources. Primary responsibilities include assessing social service needs, identifying and addressing social barriers to members achieving optimal health care status, such as lack or inaccessibility of housing, transportation, utilities, or food. Additional responsibilities include assisting providers in accessing medically necessary specialty care services and ensuring members access to appropriate preventive services. When identified clinical coordinator, this position will convene and facilitate Interdisciplinary Care Team (IDCT) meetings. This position will supervise Community Health Workers assigned to care team. This position requires licensure in a health discipline that allows the professional to conduct an assessment independently within the scope of practice of their discipline.

 

KEY RESULT AREAS (KRAs)

  • Completes psychosocial assessments

  • Identifies care needs and goals based upon:

    • Assessment findings

    • Analysis of claims data

    • Provider input

    • Patient and parent/caregiver expressed goals

  • When acting as assigned clinical coordinator, establishes Care Plan, in conjunction with patient and parents/caregivers and key providers. Plan shall identify:

  • Essential primary, specialty, and ancillary services and providers

  • Needed social support and services and identified community-based organizations that can address those needs

  • Educational needs of patient and/or caregivers to enhance self-management and appropriate utilization of providers to address psychological, developmental and/or medical conditions

  • Potential barriers to meeting goals and plan for mitigating barriers

  • Individualized disaster preparedness plan

  • When acting as assigned clinical coordinator, convenes and facilitates Interdisciplinary Care Team meetings to ensure communication and coordination between patient, parent/caregivers, and key healthcare and support service providers.

  • Monitors clinical and functional status of patients through regular face to face contact and convenes IDCT meetings on an ad hoc basis to address gaps in care or barriers to successful implementation of Care Plan.

  • Maintains and ensures the confidentiality of all Personal Health Information (PHI) collected and disseminated, in accordance with HIPAA requirements.

  • Provides patients and parents/caregivers with education required to care for child in home/community.

  • Directs the Community Health Workers/Patient Engagement Reps, as appropriate, with regard to:

    • Scheduling appointments

    • Linking patient and family/guardian to community based organizations and services

    • Follow up with/support for patient and family/guardian

    • Communication with/support for providers

    • Participates in relevant continuing education offerings to enhance knowledge base needed to oversee care for specialty populations.

  • Participates in all program specific training programs.

  • Adheres to the policies and procedures of University Clinical Health

  • Maintains strict confidentiality of client, company and personnel information

  • Demonstrates a strong commitment to the mission and values of the organization

  • Adheres to company attendance standards

  • Performs other duties as assigned

     

Experience and Skills:

  • Master’s degree in Social Work is required.

  • A minimum of two (2) years of Case Management experience is strongly preferred.

  • Current Social Work State licensure.

  • Excellent interpersonal, organizational, and analytic skills required to accomplish assessment calls and coordination/prioritization of interventions

  • Knowledge certain skill, procedures and processes.


Appointments will be based on merit as it relates to position requirements without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Successful candidates must submit documentation verifying employment eligibility and identity and successfully pass a drug test to be employed by University Clinical Health. External candidates apply online at http://universityclinicalhealth.com/careers. University Clinical Health is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with a disability. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process may contact the Human Resource Department at 901-866-8100 or fax 901-302-2008.