Care Manager - Social Work

Overview

Required skills & experience

• 2+ years previous experience working in care management and/or with chronic illness within a medical environment i.e. home health, dialysis, hospice
• Ability to take call remotely on some nights and weekends
• Self-starter with the ability to work independently with minimal supervision
• Master’s Degree in Social Work, behavioral sciences or another related field
• Currently licensed as a LCSW or LMSW

What You Need To Know

• This person has to want to work for a start up
• Competitive compensation package including salary
• Looking for someone who works well with ambiguity, drive time, tele-health components
• Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care
• This position will cover a one-hour travel radius.
• Flexible paid leave and vacation policy

Additional Job Details

• Review and document patient updates and progress in care management platform
• Ability to show empathy and quickly build relationships with patients and local CBOs
• Be able to work with Microsoft Office and mobile phone and web-based applications
• Serve as subject matter expert on social determinants for other members of the Care Team
• This position will cover a two-hour travel radius.
• Perform behavioral, environmental and social support assessments and surveys as needed
• Introduce patients to appropriate resources and act as the patient advocate
• Facilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities and AV fistula placement
• Self-starter with the ability to work independently with minimal supervision
• Serve as the point of contact for patient questions regarding social and behavioral
• Deliver individual, family and group education on living with chronic illness
• Assess patients and refer to behavioral health specialists if diagnosis and treatment needed
• Identify, vet and build relationships with local Community-Based Organizations
• Ability to occasionally visit patients or take call remotely on some nights and weekends
• Help patients to understand, accept and follow medical and life style recommendations
• Excellent verbal communication skills both in person and on the phone
• Work closely with Care Team to ensure continual progress on all care management goals
• Perform in-home care management visits to assess and impact social and behavioral status
• Engage family and social support groups in the education and care of patients
• Assess social determinants of health needs and develop a plan for addressing them
• Initiate patient relationships through enrollment and onboarding processes
• Rare domestic travel may be required