Case Worker 1

umiami; Miami (FL); On-site; USD 42,000 - 52,000; Full time

Job summary

The University of Miami/UHealth Department of Pediatrics is seeking a full-time Case Worker 1 in Miami, FL. You will help patients keep appointments, identify barriers to care, develop treatment plans, and monitor delivery of services ordered by health care providers.

Responsibilities include evaluating patients to inform plans, enrolling in insurance and social services, and supporting enrollment in ACA exchanges to maintain continuity of care.

Qualifications

• Bachelor’s Degree required from an accredited university with emphasis in psychology, social work, health education, interdisciplinary sociology, early childhood, child development or special education
• One year of relevant experience with young children and families in teaching, case management or counseling, or with individuals with special needs
• Knowledge of various data systems and ability to learn within databases
• Ability to analyze, organize and prioritize work under pressure with deadlines
• Ability to handle confidential information with discretion
• Ability to work evenings, nights, and weekends as necessary
• Commitment to the University’s core values
• Ability to work independently and/or in a collaborative environment

Responsibilities

• Conducts patient evaluations to develop effective treatment plans
• Enrolls patients in insurance and social service programs
• Learns ACA enrollment processes for care continuity
• Identifies and resolves barriers to care
• Assists with patient-provider communication
• Provides medication adherence education and counseling
• Conducts secondary prevention and lifestyle management interventions
• Educates families on community resources and programs
• Maintains confidentiality per HIPAA and regulations
• Documents services and supports record audits
• Coordinators with interdisciplinary team for IFSP and services

Skills

Attention to detail

Analytical thinking

Communication skills

Discretion with confidential info

Time management

Evening/weekend availability

Education

Bachelor’s degree in psychology, social work, health education, interdisciplinary sociology, early childhood, child development or special education

Tools

Data systems proficiency

Job description

If you are a current Staff, Faculty or Temporary employee at the University of Miami

The University of Miami/UHealth Department of Pediatrics has an exciting opportunity for a full time Case Worker 1 to work in Miami, FL.

The Case Worker assists patients in keeping appointments, identifies barriers to care, coordinates the development of a treatment plan, and monitors the implementation and follow-up of treatment/service provided or ordered by health care providers.

Core responsibilities

• Conducts patient evaluations to obtain information on the patient's medical and mental health, treatment and recovery to develop an effective treatment plan.
• Ensures patients are enrolled in insurance and free or low-cost social service programs for which they are eligible (e.g., food stamps, WIC, housing, SSI, Medicaid/Medically Needy Program, Ryan White, and ADAP, etc.).
• Learns the requirements of the new Affordable Care Act and the enrollment process to ensure patients know how to appropriately enroll or transition their care from Ryan White to a health care exchange or other insurance program that will allow them to maintain their care with our program.
• Identifies and resolve real or perceived barriers to care, (e.g., disclosure, cultural beliefs, denial, transportation, childcare, support systems, functionality, insurance, etc.) to enable patients to adhere to care recommendations and improve their health outcomes.
• Assists with patient-provider communication.
• Provides medication adherence education, assessment, and counseling.
• Conducts secondary prevention and lifestyle management interventions.
• Provides clients with information on available clinical trial opportunities and facilitates linkages to research staff.
• Educates and counsels patients around issues related to their illness and/or life situation and assists in finding additional information from websites and agencies.
• Maintains knowledge of community health and welfare resources and the variety of programs offered.
• Maintains confidentiality of all records, data, and information as required by HIPAA regulations and other regulatory agencies
• Documents filing and actions taken, according to departmental guidelines and standards.
• Assists with record audits for documentation and record compliance.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Department Specific Functions

• Travels to homes, daycares and other natural environment locations as necessary to conduct the Individual Family Support Plan meetings.
• Participates as a member of an interdisciplinary team while serving as the single point of contact for families in need of early intervention services.
• Contributes to the development of a family support plan and monitors its implementation and modification.
• Assists parents of eligible children in gaining access to early intervention services as well as additional support services available in the community.
• Provides education to families of eligible children on the services available in the community to enhance child developmental activities.
• Collaborates with personnel in community-based agencies to develop appropriate intervention strategies for eligible children and their children.
• Maintains a resource and referral file to assist families in finding timely and appropriate community-based programs and resources.
• Maximizes the continuity of care provided to enhance developmental potential.
• Coordinates activities with other case-related medical and non-medical personnel.
• Facilitate authorization of appropriate level of services for each child and family enrolled in the program.
• Documents services provided in the prescribed manner and completes paperwork prescribed by the Department to include documents, such as the Individual Family Support Plan (IFSP) requested by the state, etc.
• Completes required paperwork as needed for input into data and billing systems.
• Bilingual in English and Spanish preferred.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Core Qualifications

• Bachelor’s Degree required from an accredited university with an emphasis in the areas of psychology, social work, health education, interdisciplinary sociology, early childhood, child development or special education
• One year of relevant experience required with young children and families in a teaching, case management or counseling role, or with individuals with special needs and/or developmental delays of any age in a case management.
• Knowledge of various data systems and the ability to learn, navigate, and work effectively within database systems.
• Skill in completing assignments accurately and with attention to detail.
• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
• Ability to process and handle confidential information with discretion.
• Ability to work evenings, nights, and weekends as necessary.
• Commitment to the University’s core values.
• Ability to work independently and/or in a collaborative environment.

Any relevant education, certifications and/or work experience may be considered.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status

Full time

Employee Type

Staff