Job Summary:
For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence and enhance quality of life.
Essential Responsibilities:
Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
Effectively manages and coordinates assigned caseload consistent with established criteria.
Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.
In close collaboration with the nurse case manager and other members of the health care team, develops and monitors a plan of care designed to promote the members optimal level of functioning and enhance the quality of life.
Identifies, facilitates, and advocates appropriate organizational and community resources to meet the plan of care and ensures that they are implemented for in a cost effective, efficient, and timely manner.
Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards.
Analyzes patient and program outcomes to identify improvements in program, quality, and cost effectiveness of case management activities.
Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, and Disability) and/or refers to appropriate community agencies in cases of suspected patient abuse/neglect when identified.
Provides supportive counseling and education to members, families and caregivers, members of the health care team, health plan staff, and the community, including end-of-life issues and Advanced Directives.
Promotes self-awareness and knowledge of current case management standards in the community and recent innovations in patient care.
Maintains current knowledge of laws, regulations, and policies relating to the practice of social work in the local market/local agencies and maintains high social work standards as defined by the NASW Code of Ethics.
Scheduling and coordinating family meetings as needed.
Completing guardianship paperwork and providing technology assistance so that patients/family can virtually attend court proceedings, as needed.
INPATIENT ONLY - Completion of Uniform Assessment Instruments (UAIS) form for long-term care (Virginia Medicaid requirement only).
Performs other related duties as assigned.
Qualifications - External
Basic Qualifications:
Experience
N/A
Education
Bachelors degree in social work required.
License, Certification, Registration
This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post hire.
Licensed Bachelor Social Worker (Maryland) within 6 months of hire
Licensed Social Work Associate (District of Columbia) within 6 months of hire
Licensed Baccalaureate Social Worker (Virginia) within 6 months of hire
Additional Requirements:
N/A
Preferred Qualifications:
Experience with computer software programs in a Windows environment preferred.
Knowledge of community systems and resources in the defined service area preferred.
Knowledge of regulatory issues for the Mid-Atlantic area preferred.
At Kaiser Permanente, our focus is a healthier today and tomorrow. Founded in 1945, our unique business model set us apart – positioning all of us to help deliver total health.
As the nation’s leading not-for-profit health plan, we proudly serve 12.6 million members from more than 700 locations in California, Oregon, Washington, Colorado, Georgia, Maryland, Virginia, Hawaii and Washington D.C. Together, our 223,000+ employees make up an integrated health care delivery system with a mission to improve the lives of our members, employees, and communities.
Join us at the heart of health care and experience an environment where you can play a role in shaping the delivery of care with colleagues just as passionate as you. You’ll be a part of a community that’s focused on reaching outside the walls of our facilities to help build every community.
When you join Kaiser Permanente, you stand for total health.
Benefitted positions:
Fully Paid/Low-cost Medical and Dental Plans
Exceptional PTO
Pension and Retirement Plans
Labor Management Partnership
Tuition Reimbursement
Excellent Pay & Benefits
Focus on Care
Committed to You
Reaching Beyond Our Walls (Community Health)
Growth and Development
Strong Networks
Mission-driven Commitment to EID
Wellness and Work-life Balance Programs
Job Types: Full-time, Part-time
Pay: $38.32 - $43.02 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
Ability to Relocate:
- Washington, DC 20010: Relocate before starting work (Required)
Work Location: In person
