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Social Work Specialist
2 months ago
VNS Health is seeking a skilled Social Work Clinic Social Worker to join our team in Manhattan, New York.
Job SummaryThis is a challenging and rewarding role that requires a strong understanding of social work principles and practices. The successful candidate will be responsible for providing telephonic clinical care management services to patients, ensuring effective utilization of benefits, services, and care.
Key Responsibilities- Coordinate and oversee the coordination of benefits and services for patients on caseload.
- Complete care management and disease-specific assessments.
- Makes timely telephonic care management calls based on risk level.
- Resolves and coordinates complex issues and patient complaints impacting the delivery of services.
- Provides health education to patients and caregivers.
- Assess social determinants of health and provide care coordination to reduce/remove barriers to care.
- Identifies patient safety issues and intervenes as necessary or refers to appropriate resources.
- Coordinates the delivery of high-quality, cost-effective care based on a customized population model of care.
- Advocates for patients and caregivers to obtain necessary healthcare and services.
- Utilizes the Care Management process to set priorities, plan, organize, and implement interventions.
- Promotes adherence to physician treatment plans by providing education, coaching, and support.
- Educates, coordinates, and provides resources to reduce inappropriate utilization of emergency room and hospital services.
- Increases utilization of primary care, specialty care, preventive health, and guideline-based treatments.
- Participates in interdisciplinary team meetings and provides input on customer service-related activities.
- Protects the confidentiality of patient information and adheres to company policies regarding confidentiality.
- Ensures compliance with payors' policies and procedures as well as all Federal and State regulations.
- License and current registration to practice as a Registered Professional Nurse in NYS required or
- New York State License and current registration in Physical Therapy required or
- New York State License and current registration in Occupational Therapy required
- Certified Case Manager - Commission for Case Manager Certification within 1 year of employment required
- Guaranteed Hours
- 401k retirement plan
- Employee assistance programs
- Dental benefits
- Vision benefits
- License and certification reimbursement
- Life insurance
- Discount program
- Holiday Pay
- Continuing Education
- Wellness and fitness programs
- Mileage reimbursement
- Medical benefits
- Benefits start day 1
