Social Worker Jobs

Company Background
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

Position Summary

The Social Worker will play a vital role in reaching out to members to identify social determinants of health (SDoH) and resulting potential barriers to care. Through collaboration with Care Managers - RNs, the Social Worker will facilitate referrals to appropriate community-based resources and organizations, aiming to improve member healthcare outcomes.

Responsibilities

• Collaborate with external agencies to ensure seamless continuity of care for members
• Utilize established assessments to collect information and identify psychosocial needs, and social barriers to care, which will inform the care planning process conducted by the Care Manager
• Other related duties as assigned
• Educate and guide members on the psychosocial aspects of chronic conditions among the adult population, including the effects on behavioral health (e.g., grief, depression, anxiety, etc.)
• Offer interventions that may include education, guidance, and support to address SDoH barriers (housing, finances, transportation, and mental health/behavioral health needs)
• Engage members telephonically based on referrals from the Care Management team, promoting their active involvement in the care process
• Encourage adherence to the provider's treatment plan and the Care Manager's plan of care
• Actively participate in team meetings, multidisciplinary team meetings, in-service trainings, and regular 1:1 meetings with a direct manager
• Be accountable for meeting individual metrics related to the Social Worker role, as defined by the department leads
• Document all relevant information in the company’s proprietary care management systems
• Conduct necessary behavioral health assessments
• Facilitate connections to appropriate community health and human services, assisting in locating wrap-around services available within the member's community

Requirements

• Fluency in English & Spanish
• Possess at least 3 years of experience in a healthcare or human services agency setting
• Prior experience working in the community, with knowledge of renal health, dialysis, and/or community resources, is advantageous
• On Island Residency
• Hold a Master's degree in related Human Services/MH, SW (Social Work); an active current license as LCSW (Licensed Clinical Social Worker) or LMHC (Licensed Mental Health Counselor) is preferred
• Experience in a managed care setting is desirable

Skills

• Must have experience in company managed systems (HRIS, proprietary software)
• Capable of independently identifying problems, clarifying facts, and organizing information to recognize trends, information gaps, or the need for additional information
• Strong interpersonal skills to effectively motivate patients and other stakeholder
• Proficiency with MS Office and automated database management systems (Excel, Access, PowerPoint)
• Excellent written and verbal communication skills
• Must have experience in virtual meeting applications (zoom, ring central/etc)
• Demonstrate cultural awareness and knowledge
• Strong organizational abilities to manage multiple responsibilities efficiently

No Travel

Americans with Disability Specifications: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.