Social Worker PCT

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Be part of the solution. Our current healthcare system, despite herculean efforts on the part of clinicians, often fails to provide coordinated, seamless care. We feel there is a better way. Join a cutting-edge clinic and home-based team in providing integrated, supportive care to a complex aging population, with a goal of reduced suffered, increased patient and family understanding, and optimized care. The Everett Clinic, part of Optum, is looking for a collaborative and growth-minded Social Worker to join our Personalized Care Team. Applicants should have comfort with palliative care patients, an interest in advancing patient and family comprehension, and an ability to work independently. Our Personalized Care Team is comprised of an interdisciplinary team of physicians, resident physicians, palliative care clinicians, pharmacists, social workers, RN care managers, and care navigators. The team provides whole person care to a diverse population in multiple settings, with a goal of reducing suffering and unnecessary or unbeneficial medical care for complex patients, particularly near the end of life. The ideal candidate would have a passion for palliative end of life care. Primary Responsibilities: Assessing patients/families/caregivers’ psychosocial needs, developing written psychosocial plan of care, following up with patient/family/caregiver and documenting in Epic. Consulting in person and by phone with patients/families/caregivers, staff and providers on psychosocial needs and concerns. Assisting the care team and/or directly facilitating patient – family meetings for goal setting and advance care planning Linking patients/families/caregivers to community resources and facilitate interaction including information, referral to sources of financial assistance, transportation, food, housing and support groups. Serving as a resource, which may include making presentations, to physicians and staff on community resources. Acting as primary communicator to TEC physicians and staff about the social service programs available in the community. Interfacing with patients/families/caregivers social service needs at the skilled nursing homes, hospitals, home health and hospice agencies. Demonstrating an excellent knowledge of community resources in Snohomish County and how to identify resources in neighboring counties and the United States. Meeting with patients and families in their home environment. Collaborating with the multidisciplinary care team across various settings including inpatient, emergency department, skilled nursing facilities, and home in implementing patient care plans. Partnering with clinicians across settings, including PCT clinicians, hospital and SNF providers, specialty providers, and hospice in implementing patient care plans. Supporting provider and staff competency in advanced care planning and palliative care communication, acting as a local resource for the teams Intervening as a crisis counselor in situations requiring immediate psychological treatment. Facilitating referrals for clinically indicated services outside of the organization (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment) At The Everett Clinic/part of Optum you will experience: Flexible work week schedule (4 or 5 day work week as 1.0 FTE, flexible FTEs are available) Daily and weekly interdisciplinary huddles/rounds No call, no weekends Home visits Family care conferences/shared visits with interdisciplinary team Epic EMR Integration with the Clinic’s Primary Care and Specialty system throughout Snohomish County Sign on bonus, competitive salary and benefits If you value quality, go above-and-beyond in making patients a priority and want to help cultivate a fun, team-centered environment, we would love to connect You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Master’s degree in accredited social work educational program Licensed Social Worker Associate-Advanced (LSWAA), Licensed Advanced Social Worker (LASW), Licensed Social Worker Associate-Independent Clinical (LSWAIC), or Licensed Independent Clinical Social Work (LICSW) 1+ years of healthcare experience Preferred Qualification: Clinical work with geriatric/palliative care patients and their families About OptumCare: At OptumCare, we’ve found that putting clinicians at the center of care is the best way to improve lives. Our physician-led organization is one of the most dynamic and progressive health care organizations in the world, serving over 17 million people through more than 45,000 aligned physicians and 9,000 advanced practice clinicians. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Learn more at www.workatoptum.com . Would you thrive with OptumCare? Do you practice evidence-based medicine? Are you seeking a practice focused on patient-centered quality care, not volume? Are you a team player - comfortable delegating and empowering teams? Are you constantly seeking better ways to do things? Do you want to be part of something better? Washington Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment