Social Work Care Manager
Summit Health
- Phoenix, AZ
- Permanent
- Full-time
- Actively engage and collaborate with PCPs and office staff in identifying high-risk patients
- Employ motivational interviewing skills to elicit optimal member engagement/outcomes
- Perform comprehensive assessments for both physical and psychosocial risk factors that support individual patient needs while identifying and addressing barriers
- Communicate assessment findings, care plan goals, interventions and outcomes to PCP, patients and caregivers in a timely manner
- Maintain a working knowledge of community resources/agencies to address a wide variety of psychosocial needs members may experience
- Identify and support practice needs for structured on-site care coordination presence in alignment with program models
- Maintain a core understanding of population management as it specifically relates to high-risk patients
- The ability to be flexible in an ambiguous and dynamic environment
- The ability to adapt quickly to changing demands in the healthcare industry
- A service orientation and a “can do” attitude
- A willingness to learn on your own and take initiative
- Displays strength-based approach to collaborative problem solving
- The ability to receive feedback and apply it to work performance
- Demonstrates consistently strong ethics and sound judgement
- Effectively engages diverse populations (age, ethnic groups, socio-economic levels, etc.) and provides culturally sensitive coaching, education and assistance to members and their families
- Experience in conflict management and problem resolution
- A low ego and humility; an ability to gain trust through strong communication and doing what you say you will do
- Address gaps in care for high risk patients engaged in care management services
- Utilize behavioral health screening assessments, identify symptoms of behavioral health and substance abuse concerns, and effectively make referrals to appropriate community resources
- Effectively support patients, families and caregivers in managing psychosocial barriers
- Document clinical interventions in applicable care management software systems
- Develop and maintain effective professional working relationships with assigned PCP practice(s)
- Engage patients in a variety of settings, determined by program models and initiatives
- Master’s degree in social work or a related discipline
- Licensed Clinical Social Worker with licensure in the state of practice
- 2+ years of experience in a health care and/or behavioral health setting
- Experience working in a SNF (Skilled Nursing Facility), discharge planning, and/or working in a hospital setting preferred
- Foundation of social work ethics that informs a thoughtful, evidence-based approach
- Utilizing a variety of electronic health records including data capture, data mining and reporting