Social Worker C-snp D-snp Case Management

3 weeks ago

Orange, United States Alignment Healthcare Full time

**Job Number**6695**

**Workplace Type**:Fully Remote**

**Orange**,**California**

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career - with us.

**Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.**

**By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.**

**Position Summary**:
In this role you will assess and evaluate members’ needs and requirements to achieve and/or maintain their health. You will guide members and their families toward and facilitate interaction with resources appropriate for their care and well-being. You will also work in collaboration with a multi-disciplinary team, employing a variety of strategies, approaches and techniques to enable a member to manage their physical, environmental and psycho-social health issues.

**General Duties/Responsibilities**:
**(May include but are not limited to)**

This is a telephonic Social Work position and will support all of Alignments Case Management Programs. Additionally, this position will require some telephonic Social Work services on hospitalized members with a length of stay of 10 days or greater.
- Conduct telephonic Social Work outreach to assigned members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments.
- In response to assessments, coach and problem solve with member to identify and address specific goal(s) to support health and behavior change.
- Timely documents Social Work Interventions and goals in the EMR and collaborates with Nursing when indicated
- Promotes the value of Health Care Advanced Directive and documents member preferences
- Provide appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community
- based support services, and other resources.
- Collaborate with other members of the interdisciplinary team.
- Charts member's treatments and progress in accordance with state regulations and department procedures.
- Makes referrals to case manager, as appropriate, and/or refers member's family to community support services and resources.
- Provide home assessment to high risk members and develop an individual care plan.
- To better serve members and implement the model of care, will understand the clinical program design, program monitoring and reporting.
- Perform a full range of clinical social worker procedures in accordance with clinical privileges granted by the Plan and based in accordance with social work standards of practice.
- Practice as an interdependent member of the health team and provide important components of primary health care through direct social work services, consultation, collaboration, referral, teaching, and advocacy.
- Provide direct and indirect services to both inpatients and outpatients in accordance with social work standards of practice.
- Assess and treat outpatients in individual and family modalities exercising mature professional judgment and using a wide range of social work skills to include individual and family counseling to assist patients and their families in dealing with chronic and acute diseases/injuries.
- Conduct psychosocial assessments to determine patient needs and resources (both family support and community support). Provide counseling to patient and

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