Social Worker

The Social Worker is responsible for the navigation and advocacy of identified members stratified relevant to their practice. These members require coordinated care and integration into multiple health and social systems. This may include providing the member with information and assistance to access a wide spectrum of services directed at social, medical/behavioral and lifestyle interventions to promote health and wellness and support individualized goal attainment through care planning and self- management. Required: Social Work or related undergraduate degree with active licensure as a social worker in Ohio or West Virginia upon hire.

All licensed staff are expected to hold active licenses in both Ohio and West Virginia by the end of their 90-day probationary period with demonstrated compliance with licensure and Board of Social Workers continuing education policy throughout hire. Relevant experience in a hospital, skilled nursing facility, outpatient unit or related setting. Excellent oral, written, telephonic and interpersonal skills to balance independent and teamwork environments. Demonstrated knowledge of Microsoft Office programs. Flexibility, ability to multi-task and work in a fast-paced environment and adapt to changing processes.

Proficient keyboarding skills and computer literacy with the ability to navigate through multiple systems. Desired: In-depth knowledge and skills related to care resources, community resources, discharge planning and health care financial environments. Remains current through conferences, workshops, and professional networking. Superior work ethic and commitment to excellence and accountability. Ability to demonstrate independent and sound judgment in decision making, utilizes all relevant information to proactively identify and resolve issues. Master of Social Work desired but not required.

Case Management Certification (CCM) or Certified Advanced Social Work Case Manager desired but not required.

Responsibilities

Social Workers are responsible for reporting any changes in licensure (e.g., application declined/denied; license revoked/suspended or lapsed; notification of an investigation by licensing board; becoming subject to disciplinary action by a licensing board) to their direct supervisor through their term of employment. Identifies members at risk for psychosocial needs related to health care status through direct communication with hospital social workers and discharge planners, network practitioners, The Health Plan staff, and The Health Plan members or supportive others.

Completes contacts via telephone calls, as appropriate, to follow-up on referrals received, assesses for psychosocial needs and provides concrete or supportive interventions. Assists The Health Plan members and/or their supportive others, The Health Plan staff, or practitioners in making community resource referrals. Also provides appropriate follow-up regarding the outcome of a referral. Performs research to identify appropriate…

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