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Social Worker

5 hours ago

Norfolk, Virginia, United States Sentara Health Full time

City/State
Norfolk, VA

Work Shift
First (Days)

Overview:
Sentara Health is seeking to hire a qualified individual to join our team as a Social Worker.

Position Status: Full Time

Shift: Monday - Friday, 8:30 am - 5:00 pm

Position Location: Sentara PACE, Norfolk, VA (travel in Hampton Roads required)

Overview
Acts as an Advocate for the participant and as a representative of the team. Acts as a liaison between participants, families and staff. Assist participants in maintaining and achieving a maximum psychosocial function level. Maintain appropriate records to meet state, local and federal regulations. Knowledge of PACE, DMAS & CMS regulations.

Make home visits to conduct initial, three month and five-month assessments as required by regulations & as needed. Act as a liaison between participant and other interest agencies. Develop and maintain participant care plans. Assure participants are aware of their rights and responsibilities. Participate on intake and assessment team as well as the multidisciplinary team. Serve as a resource to staff, participants and families. Provide counseling to participants and families as needed. Maintain charting/documentation within state, federal and local regulations time frame. Monitors and maintains flow of information, both verbal and written, through department and interdepartmentally. Screens admission reports for work list on payers who will require clinical review. Maintains files in orderly manner that facilitates rapid retrieval. Assists in documentation of data to trend denials information and provide feedback to clinical team, Contracting, Patient Accounting, and Revenue Management. Places clinical documentation in appropriate format/software program for distribution to the third party payer. Maintains HIPPA requirements for transmission clinical data to payers and within the department. Collaborates with Insurance Verification and Registration staff to ensure accuracy of payer information. Places necessary information into HBOC and other software programs, as applicable, to document date, time of transmission, data provided, recipient, and other important information related to payment and certification of stay, impending or actual denial issues. Documents all patient contact and activities related to the patient's case. Mails all letters and certified notifications to meet requirements. Updates and maintains Tracking Spreadsheet for Pharmacy and Provider restrictions.

Education

  • Master's Degree - Social Work

Certification/Licensure

  • Driver's License

Experience

  • 1 year of experience as a Social Worker (required)

Keywords: Social Worker, MSW, PACE, Indeed

Benefits: Caring For Your Family and Your Career

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • Paid Time Off and Sick Leave
  • Paid Parental & Family Caregiver Leave
  • Emergency Backup Care
  • Long-Term, Short-Term Disability, and Critical Illness plans
  • Life Insurance
  • 401k/403B with Employer Match
  • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down – $10,000
  • Reimbursement for certifications and free access to complete CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan
  • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer
and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work,
Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.