Complex Care Social Work Case Manager

Devoted Health Services; United States; Remote; USD 65,000 - 85,000; Full time

Job summary

Devoted Medical Group is seeking a Social Work Case Manager to support a multidisciplinary team serving high-need patients. You will coordinate care plans that address socioeconomic and psychosocial needs, collaborate with clinicians and community resources, and provide coaching to patients and caregivers in a fast-paced, remote-friendly environment.

Ideal candidates hold a Master’s in Social Work with an active state license, have at least 3 years in medical social work or care coordination,

Qualifications

• Master's degree in social work with active state license.
• Minimum 3 years in medical social work, case management, or care coordination.
• Bilingual in Spanish preferred; comfortable with remote work.

Responsibilities

• Establish trust and build relationships with patients telephonically and virtually.
• Coordinate services to address socioeconomic and psychosocial needs.
• Develop care plans aligned with clinical, community, and financial resources.
• Support caregiver assistance and end-of-life planning discussions.
• Collaborate with interdisciplinary team to ensure cohesive care.
• Navigate resources and coordinate referrals and transitions.

Skills

3+ years exp

Spanish preferred

Remote-friendly

Healthcare exp

Education

Master's in Social Work

Job description

Job Description

A bit about this role:

Devoted Medical Group was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America's most vulnerable patient populations. The Complex Care Department is at the heart of this goal: we are a highly collaborative, multidisciplinary team of physicians, nurse practitioners, case managers, social work case managers, community health workers, and outreach coordinators united by our mission to build a better care delivery system for Devoted's most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions.

As a Social Work Case Manager, you will support the care team in serving our patients and assist with care plans that promote patient well-being by coordinating services to address socioeconomic and psychosocial needs. This will involve supporting the development of care plans that align with community, clinical, and financial resources while providing coaching and support to patients and their caregivers. Additionally you will support the improvement of coping skills, self-management, and caregiver assistance; and facilitate advanced care planning discussions, including palliative or hospice care transitions when appropriate. You will examine, challenge, and seek to expand how the community environment supports the patient' needs, and work closely with other members of the multidisciplinary team.

Responsibilities & Impact will include:

• Establish trust and build strong relationships with our patients telephonically and virtually


• Interdisciplinary collaboration with the interdisciplinary team (including clinicians, case managers, community health workers, and coordinators) to ensure cohesive, patient-centered care for high-needs patients


• Engage with patients to identify social barriers to assist in resource alignment, & coordination services to maximize the effectiveness of the Complex Care Department: Conduct screenings and create personalized action plans tailored to patient's needs


• Recognize caregivers who exhibit signs of burnout or are actively coordinating the patient's care, providing emotional support and additional resources when needed


• Assist in navigating complex family/support issues


• Facilitate conversations about end-of-life planning


• Collaborate with patients to identify their long-term care planning needs and goals. Provide information on available options and support in arranging referrals and coordinating necessary care


• Coordinate care between the Devoted Medical Behavioral Health Team and monitor outcomes


• Know how to balance multiple competing priorities for complex patients


• Build relationships and coordinate with key local market and internal stakeholders

Required skills and experience:

• Ability to work in a fast-paced environment


• Embrace, crave and be comfortable with new and ever-changing technologies


• Have a minimum of 3 years working in medical social work, case management, or care coordination


• Master's degree in social work and active state license


• Bilingual in Spanish preferred


• Health insurance experience preferred (Medicare Advantage a plus)


• Experience working with the senior population a plus


• You've had proven success in building relationships with patients and an interdisciplinary team


• The ability to comfortably multi task: you'll be listening, talking, evaluating and writing notes all at the same time


• You're a great team member with a can-do attitude; you're self reflective


• Comfortable with working remotely

Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Desired skills & experience:

• You're a caring problem solver who can break down barriers


• You connect with people quickly


• You can prioritize needs against multiple competing demands


• You follow up relentlessly


• You have comfort in the weeds of logistics


• 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 for an interdisciplinary team to be able to coalesce around a plan of care


• Are present, reliable and timely for our patients and the 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

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 o