Primary Care Social Work Case Manager

Job Description A bit about this role: Devoted Medical was founded on the belief that if we treat each patient like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America’s most vulnerable patient populations. This specific role provides social work case management support to our Primary Care program. This role will complement our interdisciplinary team by addressing the psychosocial needs of our patients. We are on a mission to replicate best-in-class care through our virtual care platform. Our interdisciplinary team combines remote monitoring, automated medication management, and high-touch disease education to deliver seamless primary care in the comfort of our patients’ homes. We seek to better serve our patients with chronic conditions who often lack access to high-quality care. Responsibilities & Impact Telephonic and video visits with patients and caregivers Establish trust and build strong relationships with our patients Interdisciplinary collaboration with teammates (including clinicians, nurses, and care coordinators) to ensure cohesive, patient-centered care for high-needs patients Conduct Social Work Case Management interventions to maximize the effectiveness of the program Psychosocial screenings with personalized care plans tailored to patients’ needs Emotional and caregiver support Navigate family/caregiver support Social determinants of health and social drivers of utilization Behavioral health navigation Long term care planning Advance care planning Know how to balance multiple competing priorities from patients Work with family members/caregivers to help them understand the patient’s needs and how to support them Facilitate and participate in joint visits Participate in team huddles, panel reviews, interdisciplinary team rounds, and program/role growth and development Build relationships and coordinate with key local market and internal stakeholders Document all clinical interactions in the electronic health record Required skills and experience Master’s degree in social work and active license Minimum of 2 years expertise in the medical field Comfortable with technology and a fast-paced environment Self-starter with ability to succeed in a work-from-home environment Strong interpersonal and communication skills Comfortable working with patients over video and phone Desired skills & experience You love helping others improve their health and navigate a complex healthcare system with compassion, empathy, and warmth You’re a caring problem solver who can break down barriers You connect with people quickly You follow up relentlessly A deep caring to make a change in the healthcare experience: you love to serve and make a difference The ability to adjust your tone and approach to different people You can articulate and break down complex information Being present, reliable and timely - for our members, for your team The ability to work in a changing environment: which means moving quickly and being transparent in your work, what’s going well, what’s not You enjoy a fast-paced, high-energy, organization; Agility and collaboration are key as we will change and improve quickly You are comfortable engaging and learning new technologies including electronic health records, operating systems and programs (Google Office, Slack). You thrive on knowing your work can help make these technologies better for you and your patients. You learn from every experience and are not afraid to fail - that’s how you’re wired Finally and most importantly, you have a passion for making healthcare better for patients, solving complex problems, and supporting the delivery of healthcare that we would want for our own family members Nice to Haves Bilingual in English and Creole, Spanish, or Vietnamese. Experience in health insurance (Medicare Advantage a plus) Experience in geriatrics Salary range $65,000 - $85,000 per year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we’re going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. #J-18808-Ljbffr Devoted Health