Master Social Worker - MSW

Care Navigation MSW

The Care Navigation MSW promotes ongoing care coordination problem solving and customer support resulting in quality patient care for Fresenius Health Partners (FHP) Care Navigation population by providing guidance, support, and other care coordination functions as defined by the pertinent program. The Care Navigation MSW monitors and intervenes with FHP patients who are at high risk of poor health outcomes, have poor adherence to recommended treatments and/or have complex psychosocial barriers. The Care Navigation Unit MSW provides psychosocial services to patients managed by Fresenius Health Partners utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. The Care Navigation Unit MSW works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Services are generally provided telephonically but there may be programs where on site visits to clinics, medical offices, hospitals and/or patient homes are required. Programs principally include the Care Navigation Unit but could extend to other Company care management programs. Maintains a database of all interactions and supports a positive rapport with our patients, affiliated providers and vendors.

Principal duties and responsibilities include driving the FMCNA culture through values and customer service standards, providing outstanding customer service to all external and internal customers, developing and maintaining effective relationships through effective and timely communication, taking initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner, using defined trigger events to initiate outbound communication to patient/family caregivers and/or other concerned parties to facilitate the coordination of care for patients assigned to the Care Navigation unit, receiving referrals from Care Navigation Unit staff, patients/families or dialysis clinic staff regarding patients at high risk of poor health outcomes, non-adherent to treatment recommendations and/or with complex psychosocial barriers, utilizing established social work theory and methods and quality of life measurement instruments as part of assessment and care planning to resolve barriers and meet patient treatment goals, providing established outcomes driven psycho-educational counseling methods aimed at improving areas of need, treatment adherence, vocational/educational rehabilitation and/or quality of life, providing ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available, collaborating with clinical staff and other members of the patient's health care team to assist in the development of an individual plan of care to facilitate an immediate action plan to meet the patient's current needs, communicating and coordinating with patient, appropriate members of patient's health care team (i.e. Nephrologist office, Primary Care office, hospital, etc.) in developing, executing and reviewing results of care coordination efforts (closing the loop), social service and community resource navigation and referral, including emergency food, housing, shelter or transportation resources, identifying appropriate community social service agencies and other resources to assist patient and families, assisting clinics to identify and manage interventions for patients that are at risk of poor health outcomes, collecting, reviewing and employing all pertinent information available from but not limited to FMC clinical systems, care management notes, vendor information, geographic mapping software, direct communication patient, physician or other members of health care team, reporting to clinical staff, the discovery of unreported medical or social conditions or changes at home that may lead to adverse outcomes and ensuring that these are referred to appropriate sources for attention, maintaining and updating the appropriate software/tracking logs of patients in the Care Navigation Program to manage and record required information and data, evaluating program processes and making recommendations to management that will improve the effectiveness and efficiency of the program, maintaining the integrity of Protected Health Information (PHI), complying with all departmental required data collection and auditing activities, participating in quality improvement activities and participating in project-based work, maintaining current knowledge of the departmental program software and the Company's clinical information systems, improving job related capabilities through continuing education, professional seminars and technical workshops, reviewing and complying with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations, assisting with various projects as assigned by direct supervisor, and other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

Physical demands and working conditions are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education: Masters of Social Work required

Experience and required skills include 2 - 5 years' related experience, Social Work Licensure required, minimum of two (2) years' experience in health care customer service or experience with Nephrology patient care in the physician office, dialysis center or other medical environment, clear and persuasive patient communication skills, previous successful problem solving experience, excellent verbal, written and meeting presentation skills, successful short task project management, familiar with MS Word, Excel, PowerPoint, and computer user interfaces, organized and detail oriented with a strong bias for follow-up and problem resolution, proven ability to be a team player.

The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.

Annual Rate: $64,000 - 107,000

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

No previous dialysis experienced needed, on the job training is provided!

• Clinic Address / 3 days per week at 9332 Skokie Blvd, Skokie IL 60077
• Clinic Address / 2 days per week at 2845 N Sheridan Rd, Ste 703, Chicago IL 60657
• Schedule: 8am - 4:30pm
• Full Time / 40 hours per week.

Join our team! Rated Newsweek's Most Loved Workplaces. Paid Dialysis Training. Tuition reimbursement. Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. Generous PTO and ESL leave accrual. 401K Retirement benefits with match. Many perks and discount programs available. Training provided.