Care Coordination Social Worker, ProHealth Physicians

Opportunities with ProHealth Physicians , part of the Optum family of businesses. When you work at ProHealth Physicians, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together.

Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience:

• Exceptional teamwork

• Robust medical resources

• Passionate professionals with a focus on patient-centered care

Join ProHealth Physicians and play a pivotal role in shaping the future of health care in Connecticut. Caring. Connecting. Growing together.

ProHealth Physicians is Connecticut's leading community-based medical group. Formed in 1997, we have primary care offices in every county. Our 300+ doctors and advance practice clinicians care for children and adults of all ages. We also have in-house imaging and clinical lab services. Traditional medicine treats people when they're sick. Instead, we focus on preventing diseases. Our goal is to give our patients - and their communities - the tools they need to be and stay well. This is how we help people live healthier lives .

Position Details:

• Location : Farmington, CT. This is a hybrid position

• Department : Care Coordination

• Schedule : Full time, 40 hours/weekly, Monday through Friday, hours between 8:00AM - 5:00PM

Primary Responsibilities:

• Receive referrals or requests to provide support for members' health or psychosocial needs

• Validate appropriateness of referral or follow relevant guidelines (e.g. protocols, procedures, job aids) to provide initial response to referral

• Review specific diagnosis and member case files to understand reason for referral and identify critical data or information

• Leverage understanding of relevant medical terminology to evaluate and review member case files and program applicability

• Collaborate assessment efforts with multi/interdisciplinary team members to identify member needs and team member roles

• Identify gaps in member's current state health or psychosocial needs and opportunities to provide assistance to members

• Pursue additional information as needed to supplement gaps in available information (e.g. contact providers)

• Review benefits information to determine what resources may be covered, whether additional resources should be identified and support case management process

• Interacts with members base on their individual perspectives needs and desires (e.g. culture perspective, stage of duress, cognitive impairment)

• Analyze data and information obtained, identifying root causes or underlying issues that may create barriers for members to achieving plan of care

• Document assessment findings following organizational standards and best practices

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Bachelors Degree in Social Work

• 3+ years in acute, primary or hospital setting

• 2+ years of experience of social work

• Solid Microsoft Office Suite (Excel, and Word) experience

• Basic computer knowledge and aptitude

• Reliable transportation

Preferred Qualification:

• Masters Degree in Social Work

• Experience with EMR systems (EPIC)

• Experience in an ambulatory, physician practice setting, or health insurance environment

The organization reserves the right to modify position responsibilities at any time, due to business necessity.

Connecticut Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.