Medical Social Worker Supervisor

Job Description

Job Description

Medical Social Worker SupervisorDepartment: Health Systems ManagementProgram: Health SystemsReports to: Health Systems ManagerEmployment Status: Full TimeFLSA Status: ExemptSchedule: 40 Hours/52 WeeksPreference: TERO Ordinance 2017-01, P.L. 93-638Job SummaryThe Medical Social Worker Supervisor is a key member of the interdisciplinary healthcare team at Dena'ina Wellness Center and is responsible for overseeing the daily operations of the Purchase Referred Care (PRC) program. The supervisor provides essential psychosocial support, case management, and advocacy services to un'ina (patients) and their families. The Supervisor position will focus on addressing the social determinants of health that impact the well-being of our un'ina (patient) population. The Medical Social Worker Supervisor ensures the efficient and effective delivery of services related to un'ina eligibility, referral management, and PRC claims processing. The Medical Social Worker will work closely with all members of the healthcare team including Primary Care, Dental, Optometry, Behavioral Health, Physical Therapy, and other specialties to ensure comprehensive and coordinated care as well as ensuring seamless coordination of un'ina referrals and PRC claims. The Supervisor will also provide warm hand offs to non-healthcare Kenaitze Indian Tribe Departments as appropriate to improve the well-being of our un'ina.Essential FunctionsAssists un'ina and family in understanding referral recommendations and options to facilitate un'ina and families engaging in treatment planning and decision makingFacilitates appropriate use of Kenaitze Indian Tribe and community resources to best suit the un'ina needs to ensure un'ina centered care and alignment with Tribal traditions and valuesEnsures timely completion of PRC claim review, referral management, and Family Health Resource (FHR) screenings to provide appropriate insurance support services to un'inaProvides daily operational oversight of the PRC program, ensuring that all Tribal and Indian Health Services (IHS) procedures are followed accurately and efficientlyAssess and implements departmental workflows to ensure efficient and timely processing of referrals and PRC claim review and reviews accuracy and completeness of all documentation, records, and data entryCommunicates with Health Systems Departments and external facilities regarding un'ina referrals and claimsIdentify and resolve issues related to un'ina eligibility and referrals within the PRC program, ensuring compliance with policies and timely access to careParticipate in interdisciplinary team meetings to provide insight on un'ina needs and potential barriers to carePerforms duties to include compiling and maintaining reports and statistical information as requiredEnsures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinanceIt is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.Working ConditionsLifting RequirementsSedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.Physical RequirementsStand or Sit (Stationary position)Walk (Move, Traverse)Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)Repetitive MotionHazards and Atmospheric ConditionsNoneOSHA CategoriesCategory III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aidEquipment and ToolsList Equipment used for job: Desktop, Printer, Scanner, PhoneList Tools: N/ADrives KIT or Personal Vehicle: N/ATravelLocalIn-StateOut-of-State  QualificationsEducationMaster 's degree in Social Work (MSW)PreferredKnowledge and experience working with cultural diversitiesLicense/CertificationCurrent, valid Alaska state license as a Licensed Clinical Social Worker (LCSW) or equivalent licensure requiredMust have a valid Alaska State driver's license and must remain insurable under the Tribe's policy, or obtain within 90 days of hireBasic Life Support (BLS) certification required, or obtain within 90 days of hireSpecial SkillsStrong organizational and time-management skillsProficiency with Microsoft Suite, or obtain training within 90 days of hireConducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and othersAbility to multi-task, work independently, and meet deadlinesKnowledge of Health Insurance Portability and Accountability Act (HIPAA)This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.