Optum NJ Care Coordinator Social Worker – Remote

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

The role of the Case Management Care Coordinator is to assist the Medical Management team and physicians in the on-going monitoring of complex patients that includes but is not limited to: 

• Identify psychosocial needs and interventions for patient’s condition
• Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations and complications utilizing cost-effective evidence-based practice guidelines and social service interventions including patient self-management
• Facilitate the improvement of patient compliance via telephonic follow-up and other alternative or non-traditional methods
• Help to improve patient satisfaction which includes supporting the physician/patient relationship and plan of care
• Assist in maximizing patient access to quality health care via coordination with PCPs, Specialists, social services, home health, health education, and laboratory services

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Assist with development and maintain social service programs, drafting supporting policies, procedures, and guidelines for the program
• Telephonically assess patient psychosocial status   
• Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems 
• Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions 
• Provide social work services including short-term counseling, community resource planning, and crisis intervention 
• Acts as a resource person for other members of the healthcare team 
• Develops and maintains through knowledge of referral resources throughout the service area 
• Report to APNNJ Case Management Nurse variances in patient’s condition, medications, or treatment 
• Telephonically monitor patient on a regular basis regarding psychosocial needs, education, and compliance with treatment plan 
• Maintains up to date knowledge of Medicare, Medicaid, and other third-party reimbursement sources 
• Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others 
• Refer to health education and other service departments as necessary 
• Complete all required documentation in a timely manner according to department policy 
• Refer patient to outside community resources, classes, education, etc. as appropriate 
• Case closure as appropriate 
• Collect data necessary for APNNJ Case Management reports/studies 
• Attend APNNJ Case Management meetings and training as appropriate 
• Other duties as needed 

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:

• Graduate of an accredited Master’s degree Social Work program 
• Unrestricted current Social Worker license in state of New Jersey
• 3+ years of solid clinical background with broad range of experience in health care delivery setting (hospital, clinic, physician’s office) 
• 2+ years of experience with health plan care coordination 
• Experience with Electronic Health Records 
• Excellent interpersonal and communication skills (both written and oral) 
• Proficient in Microsoft Office Suite, Adobe Products
• Solid critical thinking and decision-making skills 
• Ability to travel to home office as necessary for training, meetings, or as requested by Supervisor/Manager  
• Ability to work with a multi-disciplinary team 

Preferred Qualifications: 

• Licensed Clinical Social Worker (LCSW)  
• Experience in a remote/telecommuter work setting
• Background in behavioral health

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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