RN/LCSW

Job Title

Primary Functions:

• Responsible for patient outreach, assessment, disease management, and care coordination to patients with high rates of medical and behavioral health utilization and/or psychosocial vulnerability
• Assess patients through telephonic and eventually face to face encounters
• Builds a collaborative relationship with patients and their identified support system to encourage care participation and improve self-management of needs
• Utilizes motivational interviewing to identify barriers and facilitate care plan compliance
• Effectively educates patients about healthcare delivery, plan benefits and a variety of topics related to health, and community resources
• Coordinates timely and appropriate implementation of assessments, care plans, and interventions for the identified patient population
• Provides medication reconciliation and support ongoing adherence
• Provides transitional care management
• Identifies and helps to align patient care and community resources to prevent hospital readmissions and Emergency Department visits
• Documents all activity in the documentation systems relevant to the role
• Collaborates with the care team to achieve high-quality, low-cost outcomes for patients
• Interfaces and maintains positive relationships with key providers in the local hospitals, community practices, and organizations to ensure proper patient engagement and follow up
• Achieve established productivity targets
• Maintains compliance with the organization policies and procedures
• Demonstrates the ability to adapt, innovate and lead in a fast-paced environment, where change is common
• Passionate about making a difference in individual's lives
• Other duties as assigned

Qualifications:

• Requires a Master's in Social Work
• Must have a current full licensure as a LCSW by the NC Social work Certification and Licensure Board
• Two years post master's clinical experience is required
• Medical Social Work experience strongly preferred
• Knowledge of care management and quality principles are preferred
• Requires the ability to maintain confidentiality
• Must be able to interact with individuals of all cultures and level of authority

Additional skills required:

• Excellent and effective written and oral communication skills
• Proficiency in Microsoft Office Outlook, Word, Excel, PowerPoint use and e?mail communication
• Ability to communicate clearly and succinctly
• Dependable, manages time well; efficient and organized
• Requires the ability to maintain confidentiality

Benefits:

• 401(k)
• Health, Dental and Vision insurance
• Employee assistance program
• AFLAC
• Paid time off

Preferred behaviors:

• Loyal: Shows firm and constant support to a cause
• Leader: Inspires teammates to follow them
• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Functional Expert: Considered a thought leader on a subject
• Enthusiastic: Shows intense and eager enjoyment and interest
• Dedicated: Devoted to a task or purpose with loyalty or integrity
• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Licenses & Certifications:

• Licensed Social Worker
• Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.