Social Worker

• Complete appropriate Behavioral Health Assessments to collect information to identify psychosocial needs, social determinants of health, and/ or barriers to care using established assessments and relay this information to the Clinical Care Team for care planning
• Assist in telephonic outreach for purposes of engagement of KHM eligible members 
• Accountable for individual metrics as defined by the leadership
• Provide actionable interventions and supportive counseling to members and families which could include assistance with housing, finances, utilities, transportation, and mental health barriers
• Facilitate linkage to appropriate community health/human services and assist with locating wrap-around services available in the community
• Encourage adherence to provider treatment plan and Clinical Care Team Plan of Care
• Collaborate with outside agencies to ensure continuity of care
• Participate and provide updates in team meetings, 1:1 meetings with leadership, and attend in-service training
• Document in HealthMap’s Care Management Systems as appropriate
• Perform other related duties as requested

Requirements:

• Master’s degree in social work is required
• An active, unrestricted, state board-issued LCSW (Licensed Clinical Social Worker) license is highly preferred
• 3 years of experience in healthcare or human services agency setting
• Experience in a managed care setting
• Experience working in the community with knowledge of renal health and/or community resources preferred

Skills:

• Strong interpersonal skills are required to motivate patients and others
• Excellent written and verbal communication
• Cultural awareness and knowledge
• Ability to independently identify problems, clarify facts, and organize information to identify trends, information gaps, or need for additional information
• Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

Travel:

• Limited Travel, Scheduled per needs of the business