Job Purpose

The Social Worker is responsible for the assessment, planning, implementation, coordination, monitoring and evaluation of the Health Plan’s membership to include resource management and assessing Social Determinants of Health. This position assists the inpatient case management team (IP Hospital, ARU, LTAC, and SNF) with difficult discharge planning and community resources.

In addition, the Social Worker is responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values.

Culture and Values Expectations

At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission “to deliver quality and compassionate care with outstanding service, every patient, every time”. As a Social Worker at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations.

·        Integrity: Do the right thing, the right way, every time.

o  Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality.

·        Compassion: Treat everyone with respect and dignity.

o  Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent.

·        Synergy: Collaborate to improve outcomes.

o  Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas.

·        Stewardship: Use resources responsibly and efficiently.

o  Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement.

Essential Job Duties & Responsibilities

• Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas.
• Organizational skills with the ability to handle multiple tasks and/or projects at one time.
• Customer service skills with the ability to interact professionally and effectively with providers, third party payers, physicians, and staff from all departments within and outside the Company.
• Ability to define patient needs and access community resources available to meet those needs
• Time management skills with the ability to prioritize and schedule daily activities for the most efficient use of time.
• Interpersonal skills with the ability to work in a fast-paced environment and participate as an independent contributor with little supervision or as an active team member depending on the situation and needs.
• Must have a track record of producing work that is highly accurate, demonstrates attention to detail, and reflects well on the organization.
• Other duties as assigned.

Experience

• Minimum of 3 years of social work experience to include managing medical and socioeconomic issues.
• Minimum of 2 years of public health or managed care Social Work experience preferred.
• Knowledge of social support systems and resources is required.
• Knowledge of applicable state, federal and third party regulations and standards.
• Knowledge of local community resources available to the Medicare and Medicaid populations.
• Personal computer experience including Microsoft Word, Excel, PowerPoint and Outlook at the intermediate level at a minimum.
• Working knowledge of documentation in an EMR, preferably in ECW

Education

• Bachelor’s degree in Social Work required: Master’s degree preferred.

Licensure

·        Required  Licensed Baccalaureate Social Worker (LBSW), Licensed Master Social Worker (LMSW), LMSW – Advanced Practice (LMSW-AP), or Licensed Clinical Social Worker (LCSW)

Knowledge, Skills & Abilities

·     Organization skills, able to handle multiple activities with changing priorities.

·     Strong written and verbal communication skills.

·     Competent in computer skills including MS Word, Excel, and Access.

                                              

Work Hours, Travel Requirements

·        Monday – Friday, 8:00 a.m. – 5:00 p.m., and as needed to complete projects.

·        Travel to local hospitals and/or rehab centers as needed to assist with placement, Medicaid applications, assistance with community resources, care planning meeting, and other assigned duties as needed.

Working Conditions & Physical Requirements

Requires prolonged sitting, some bending, stooping, stretching, and occasional lifting up to 50 pounds. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Standard medical office environment.