MSW Care Coordinator Cardiology

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

Position on this function is under the direction of the RN Manager/Supervisor, the Social Worker will collaborate with the Cardiology Providers and the entire clinical team to provide quality and appropriate patient care, with utilization of excellent customer service skills throughout the patient care continuum. 

Position on this function  is responsible for coordinating social services for all Southwest Medical Cardiology patients and those patients that are at high risk for hospital admission. Collaborates with the Cardiology Providers, RN Case Manager and the entire care team; to address the entirety of the patient’s needs and to promote better patient outcomes. Responsible for managing/review of referrals, completing in-person and/or telephonic patient assessments, follow up with the availability of a home visit if needed and resource navigation related to Social Determinants of Health.  Provide great customer service to ensure a quality patient experience through fostering a caring culture that demonstrates excellent customer service, while achieving SMA/Department goals. Develops individualized care plans that optimize the psychosocial and financial factors impacting transitions of care. Acts as a resource for the patient, their families and the health care delivery team in the outpatient setting, identifying and managing referrals to community resources. Ensures appropriate standards of care are implemented and in compliance with all state and federal regulations, standards of practice, corporate policies and procedures.

Primary Responsibilities:

• Foster a workplace culture that is consistent with the overall organization and emphasizes the identified mission, vision, guiding principles, and values of the organization
• Provide patient care (direct and indirect) with exemplary customer service to all SMA Cardiology patients
• Assist with the coordination of patient care under the guidance of the Cardiology Providers, acting as a liaison in person or by telephone for social services
• Identify, Assist, Coordinate and initiate referrals for social service programs including financial, psychosocial, community and state supportive services
• Acts as an advocate and resource for patients, their families and the health care delivery team, in the outpatient setting, for social services
• Manage a clinical caseload, organizing and prioritizing the workload effectively, with regular supervision and guidance
• Duties include but not limited to formulation and management social service plan of care throughout the continuum of care as a single point of contact for outpatient social services; documents all patient assessments and services provided in the electronic medical record including referrals to social service programs and follow-up documentation to ensure referral was received by the social services agency
• Participate in team meetings, data management and measurement of quality improvement indicators of patient outcomes as is dictated by designated management/department team 
• Ability to work as part of a multi-disciplinary team. Fosters teamwork by initiating and building communication with all levels of management and employees to promote cohesiveness and improved outcomes
• Responsible to contact patient and/or caregiver to initiate plan of care within three business days for routine referrals: two business days for ASAP referrals and one business day for Urgent referrals
• Subject matter expert to include but not limited to community resourcing
• Maintain, facilitate and promote department protocols, processes, policies and standards to include but not limited to the following: New and Existing patient management and other Specialty specific protocols as signed by department head or designee
• Other duties as assigned

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:

• High School diploma and/or equivalent
• Master’s degree in Social Work 
• Unrestricted State of Nevada Social Work license or eligibility for immediate provisional license
• 1 years of related social work experience in an acute care setting, clinic, home health or case management setting
• Knowledge of Social Work theory/practice and ability to utilize a variety of diagnostic tools/techniques
• Knowledge of State and community based programs, including rules and regulations applicable to these programs
• Knowledge of Advanced directives, POLST and legal regulations, including but not limited to reporting of abuse
• Basic computer skills to include Word, Excel, and Windows based applications and worked within Electronic Medical Record
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Understanding of managed care
• Good communication skills, excellent phone etiquette and customer service skills
• Excellent self-starter
• Ability to perform all essential job functions with or without reasonable accommodation
• Demonstrated ability to build and maintain community resource database

Working Conditions:  

• Normal clinic environment
• Possess personal transportation to travel as needed throughout the Las Vegas Valley
• Valid Nevada driver’s license, auto insurance and a motor vehicle in good working condition required
• Ability to pass FIT testing and wear protective mask as deemed by OptumCare NV in the course of work at a clinic

 
Competencies for High Performers 
Individual will work and adhere to all company standards and policies. Work as part of a team and collaborate with co-workers and providers.  Provide great customer service. Communicating medical information to customers in a manner that is clear, concise and understandable. Complete assigned tasks and work responsibilities correctly and efficiently. Assisting Supervisor and/or Manager with department related projects. Maintains confidentiality.   

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

Nevada Residents Only: The salary range for Nevada residents is $56,300 to $110,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.