Social Worker WellMed Laredo

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

The Social Worker is responsible for the assessment, planning, coordination and oversight of services for identified patients' within their respective healthcare plan. The position identifies, evaluates, and provides management of services for patients with complex, catastrophic, SDOH (Social Determinants of Health) and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards. Acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for patients, putting them at the center of care delivery. The Social Worker will interact and engage with others as an interdisciplinary team member.

• Perform comprehensive evaluations and document findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)
• Performs patient assessments in multiple settings to include but not limited to the patient's home, the PCP/specialists clinic, hospital, and/or skilled nursing facility as needed
• Understands and plans to assure services provided work within the boundaries of the patient's plan eligibility. Coordinates identified patient's needs utilizing federal, state, and local community resources, as available
• Coordinates with external and internal teams to minimize obstacles and increase in patient and provider satisfaction
  • Active participation in Performance Improvement (PI) or regional strategic initiatives
  • Active participation in staff and Interdisciplinary Teams (IDT) meetings
  • Adheres to organizational and departmental policies and procedures
  • Maintains a high level of professionalism and adheres to the WellMed Core Values
• Assumes responsibility for personal and professional development
  • Ensures licensure, certifications, and annual training are maintained and compliant
  • Maintains knowledge of current health plan benefits
• Performs other duties as assigned

• Bachelor of Social Work with 3+ years of experience beyond the required years of experience
• 3+ years social work experience in a health care environment
• Proficient in MS Office Suite to include Word, Excel, Notes, Outlook, and other departmental specific programs/applications
• Proven excellent oral and written communications skills
• Proven solid organizational skills
• Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

• Masters or Bachelor's of Social Work with licensure (LMSW or LCSW or LBSW)
  • Licensured within state
  • If do not pass, termination after XX days
• Experience working with geriatric and behavioral and mental health patient populations
• Long Term Care experience
• Knowledge of disease management, managed care, medical terminology, referral process, claims, and CPT coding
• Bilingual (English/Spanish) language proficiency