Medical Social Worker

The Medical Social Worker works in conjunction with Care Coordination staff and interdisciplinary team consisting of the medical director, utilization management staff and others involved in the members care in order to meet the global needs of the member and their family. Interventions may include assessing the psychosocial functioning of the member and family, assistance with discharge planning, connecting members and families to necessary resources and supports in the community; arranging psychotherapy, supportive counseling, or grief counseling; or helping a member to expand and strengthen their network of social supports. The Medical Social Worker must work cooperatively with other members of the multidisciplinary treatment team who are directly involved in the member’s care. Excellent analytical and assessment skills, an ability to communicate clearly with both members and staff, and an ability to quickly and effectively establish a therapeutic relationship with members is essential to this position. The medical social workers must be willing to act as advocates for the members, especially in situations where the medical social worker has identified problems that may compromise the member’s health and safety Essential Duties and Responsibilities Completes daily case assignments as necessary and documents the plan of care and treatment recommendations in the Care Connect system. Collaborate with other professionals to evaluate members’ psychosocial and physical needs. Refer member, member, or family to community resources to assist in recovery from mental or physical illness and to provide access to services such as financial assistance, legal aid, housing, job placement or education. Counsel family members to assist them in understanding, dealing with, and supporting the member or member. Identify environmental impediments to member or member progress through interviews and review of member records. Utilize consultation data and social work experience to plan and coordinate member or member care and rehabilitation, following through to ensure service efficacy. Monitor, evaluate, and record member progress according to measurable goals described in treatment and care plan. Supervise and direct other workers providing services to members or members. Modify treatment plans to comply with changes in members’ status. Other duties as assigned by the Care coordination Manager and the Director of Clinical Services Assists the Member Services department as assigned Collaborates with facility case managers and physicians to assure their participation and compliance with post discharge arrangements. Participates as part of the care management team works collaboratively with all department staff. Complies with CCHP Compliance Handbook including Code of Ethics and all statues, regulations and guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statue, regulations, agreements or guidelines applicable to all healthcare programs. Accepts and performs other duties as assigned. CORE COMPETENCIES Must possess and consistently demonstrate the following competencies: Management – Makes the best use of available time and resources. Acknowledges and corrects mistakes. Shows up to work on time, and follows instructions, policies, and procedures. Meets productivity standards, deadlines, and work schedules. Prioritizes tasks by importance and deadline. Displays an ongoing commitment to learning and self-improvement. Desiring and making an effort to acquire new knowledge or skills for work. Leadership Effectiveness – Leads by example and sets standards for professional behavior. Helps those in need of assistance, regardless of rank. Offers help when needed. Identifies what needs to be done and takes action before being asked or required. Recognizes situations that warrant initiative and moves forward without hesitation. Displays a positive attitude about the work to be done, co-workers, customers, management, and policies. Conveys positive attitude in the process of change. Decision Making and Judgment – Coordinates ideas and resources to achieve goals. Identifies, collects, and organizes data for analysis and decision-making. Shows insight into the root-causes of problems. Generates a range of solutions and courses of action with benefits, costs, and risks associated with each. Examines data to grasp issues, draw conclusions, and solve problems. Teamwork – Conveying confidence in co-workers’ ability to be successful, especially with new and challenging tasks. Earns others’ trust and respect through consistent honesty and professionalism in all interactions. Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect. Maintains an open, approachable manner, and treats others fairly and respectfully. Preserves others’ self-confidence and dignity, and shows regard for their opinions. Promotes cooperation and commitment within a team to achieve goals and deliverables. Continuous Improvement – Adapting to and working with a variety of situations, individuals, and groups. Demonstrates openness to new organizational structures, procedures, and technology. Openness to different and new ways of doing things. Willingness to modify one’s way of doing things. Diligently attends to details and pursues quality in accomplishing tasks. Develops fresh ideas that provide solutions to all types of workplace challenges. Communication – Keeps manager informed about progress and problems. Ensures that others involved in a project or effort are kept informed and developments and plans. Allows others to speak without unnecessarily interrupting them. Gives the speaker undivided attention and appears interested in the message (e.g., maintains eye contact, nods). Gets along and interacts positively with co-workers and others. Asks and answers questions that enhance the clarity, quality, and reliability of information. Work Product Quality – Adheres to all workplace and trade safety laws, regulations, standards, and practices. Displays openness to different or new ways of doing things and sees multiple perspectives. Responds positively to change, embracing and using new practices or values to accomplish goals and solve problems. Respects and maintains confidentiality. Tells the truth and is honest in all dealings. Encourages and supports others at work. Focuses on results and desired outcomes and how best to achieve them in order to get the job done. Willingly puts in extra time and effort in crisis situations; goes the “extra mile” to ensure the goal is met. Defining tasks and milestones to achieve objectives, while ensuring the optimal use of resources to achieve those objectives. Customer Service – Builds and maintains customer satisfaction with the products and services offered by CCHP. Meeting and exceeding customer needs while cultivating relationships that secure commitment and trust. Seeks customer feedback and ensures needs have been fully met. Be positive when interacting with customers. Delivers products and services when and where the customer needs them. Engages customer in identifying issues, options, and desired outcomes. Develops a clear picture of the needs and best options from the client/customers’ perspective. Remains committed to helping the client long after initial solutions have been applied. Follows up to make sure desired outcomes are realized. Acts proactively, recognizing important trends that will affect customers. Communicates those trends so clients can better prepare to meet new challenges. Develops new services and service models in line with those needs. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed. Provides excellent services to internal and external customers Qualifications Health plan experience preferred Minimum two years acute in hospital, health plan, home health or related experienced required Bi-lingual in English and Cantonese preferred Excellent verbal and written communication skills. Excellent interpersonal skills Able to communicate and collaborate effectively with physicians and allied health care providers Ability to set and change priorities quickly and as the situation warrants Able to work independently and as a team player Working knowledge of Word and Excel Ability to maintain high volume workload without compromising quality. Expectation to manage a minimum of 100 members at baseline Ability to work as a member of a team, assuming different roles as the situation warrants Physical Requirements Able to lift up to 30 pounds Use proper body mechanics when handling equipment Standing, walking and moving 50% of the day Compliance Requirements Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs. Base Pay Scale Starting at $35.37 – $53.01. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. #J-18808-Ljbffr