Job Information
UnitedHealth Group Social Worker - Bangor, ME in Auburn, Maine
$ 10,000 Sign-On Bonus for External Candidates
Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together.
The Social Worker (Discharge Planning) as part of a multidisciplinary team, including the patient / family, physicians, nurse’s therapists, and payors ensures the patient’s progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective. The incumbent interacts with patients, family members, healthcare professionals, and community and state agencies in this effort. The Care Manager / Social Worker serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. The Social Worker (Discharge Planning) reviews high risk adult patients from a psychosocial and medical perspective and assesses the psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources.
The Social Worker and RN Care Manager work collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum. The expertise of the MSW is sought to resolve psychosocial patient care issues and to develop complex patient transition / discharge plan as needed. Will work in an acute care hospital setting, supporting patients and caregivers in the emergency department, critical care, and inpatient setting.
The Social Worker is responsible for maintaining hospital compliance with the Quality Improvement Organization (QIO) series provides case review to third party payers and assisting in the denial and appeals process as well as assessing quality, levels of care and identifying and reporting potential risk management issues. The incumbent performs duties and tasks in accordance with performance standards established for the job. The incumbent may have access to highly confidential patient, employee and / or Northern Light proprietary information, and must handle & protect the information in accordance with hospital & system policies, HIPAA requirements and the highest level of ethical standards. The incumbent is responsible for reporting all security events, potential events, or other security risks to the organization.
This position is full - time, Monday - Friday. Employees are required to work regular business hours. Our office is located at 489 State Street, Bangor, ME, 04401.
We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.
Primary Responsibilities:
Interacts with patients, family members, healthcare professionals, and community and state agencies in this effort
Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
Reviews high risk patients from a psychosocial and medical perspective and assesses the psychological needs of patients and families and provides information, support, , care management, and referrals to appropriate resources
The Social Worker and RN Care Manager work collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum
Their expertise is sought to resolve psychosocial patient care issues and to develop complex patient transition / discharge plan as needed
Performs duties and tasks in accordance with performance standards established for the job
May have access to highly confidential patient, employee and / or Northern Light organizations proprietary information and must handle & protect the information in accordance with hospital & system policies, HIPAA requirements and the highest level of ethical standards
Responsible for reporting all security events, potential events, or other security risks to the organization
Works in conjunction with physicians, nurses, Care Management Team and others to assess, plan and initiate patient plan of care
Reviews patient charts
Provides assessment and social services to patients and their families in relation to social, psychological, financial, and family situations which will allow timely discharge facilitation
Obtains, interprets, and communicates necessary information regarding patients and families, including social history information, to staff and physicians
Attends Multi-Disciplinary Rounds, daily, per unit schedule
Meets with patients and families to provide psychosocial support as needed
Facilitates and coordinates details of placement and discharge to appropriate agencies
Discusses nursing, psychosocial needs and medical information with facilities
Provides and updates referrals to facilities through online / software discharge planning tools
Reviews and completes all appropriate information accompanying patient facility
Acts as a liaison between hospital and those facilities should discharged patients be hospitalized
Assists in arranging time and mode of transportation to facilities for patients
Facilitates and coordinates individualized discharge plan
Arranges and participates in care conferences with unit staff, home care staff, facility staff, patients and / or families
Provides adequate avenues of communication through on - going documentation in Cerner systems and telephone/verbal reporting or electronic tools
Coordinates and communicates with home care agencies regarding expected standards of care for requested specific treatments and psychosocial needs
Assists patients and families with obtaining community assistance by referral to proper resources
Serves as a resource to physician and hospital personnel regarding available agency, facility, and community services to assist in discharge planning.
Develops and maintains good working relationships with outside community health and social agencies. Reaches out to the community to develop new resources for meeting patient needs
Discusses specific continuing care needs with physicians and hospital personnel on a regular basis
Arranges and participates in care conference
Discusses on - going continuing care needs of patients with multidisciplinary team daily
Completes appropriate State of Maine forms.
Monitors the completion of the MEDEXX by Maximus for all first time Medicaid transfers to nursing facilities
Alerts Maximus to complete MEDEXX on Medicaid patients with expired bed holds
Alerts Maximus to complete MEDEXX on Medicaid patients with need for community programs
Monitors the completion of the MEDEXX by Maximus for all first time Medicaid transfers to nursing facilities Maximus rather than Maximus
Alerts Maximus to complete The MEDEXX on Medicaid patients with expired bed holds Maximus rather than Maximus
Alerts Maximus to complete The MEDEXX on Medicaid patients with need for community programs Maximus rather than Maximus
Medical Record Review:
- Assumes integrated Care Management responsibilities when providing department weekend coverage
Reporting:
Documents in appropriate electronic system by the close of business each day
Consults with leadership as necessary to resolve barriers through appropriate administrative and medical channels
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Bachelor’s Degree in Social Work (BSW) (or higher)
1+ years of social work experience
Active licensed Social Worker in the State of Maine
Proficient with Microsoft Outlook
Proficient with Microsoft Teams
Ability to work onsite at 489 State Street, Bangor, ME, 04401
Ability to work Monday – Friday (flexible shift). Candidate will be able select a day OR mid-day shift
Ability to train for at the first four weeks, between Monday – Friday, 08:00AM – 04:30PM
Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifications:
Master’s Degree in Social Work (MSW)
6+ months of clinical experience as a Social Worker in an extended care facility, community healthcare, or acute care setting
Intermediate experience with Microsoft Excel
Microsoft Word
Experience with Cerner
Soft Skills:
Critical Thinking skills
Excellent written and oral skills
Identifies challenges and problem solves with key stakeholders to reach solutions that meet the needs of customers
Drive to consistently meet objectives and maintain focus
Self - directed with proven organizational skills and ability to be flexible and work with ambiguity
Ability to execute on identified deliverables either directly or influencing and driving internal and external partners
Resourcefulness - ability to procure detailed data and information
Detail - oriented and ability to identify potential risk or problems and recommend path to resolution
Comfortable with escalating barriers and needs to leadership
Ability to remain autonomous
PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment .
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