The primary role of the Social Worker is to assess the psychosocial needs of beneficiaries and provide solution-focused care coordination to address issues that impede their ability to adhere to their healthcare treatment plan. The Social Worker identifies, evaluates, and provides management of services for beneficiaries with complex, catastrophic, SDOH (Social Determinants of Health) and/or psychosocial issues to promote quality, effective outcomes throughout the care continuum. The Social Worker ensures compliance with state and federal health plan requirements, Medicare guidelines and standards, and acts as a liaison to coordinate and collaborate care with physicians, family, and other providers while always remaining an advocate for beneficiaries, putting them at the center of care delivery.

Essential Duties and Responsibilities

· Perform comprehensive evaluations and document findings in a concise/comprehensive manner that is compliant with documentation standards for the Center for Medicare and Medicaid Services (CMS)

· Performs beneficiary assessments in multiple settings to include but not limited to the beneficiary’s home, the PCP/specialists clinic, hospital, and/or skilled nursing facility as needed

· Assist with implementing new clinical programs in collaboration with Senior Director of Clinical Operations and Clinical Oversight

· Assist with development and creation of clinical programs specific to social determinants of health in collaboration with Senior Director of Clinical Operations and Clinical Oversight

· Coordinates identified needs utilizing federal, state, and local community resources, as available

· Coordinates with external and internal teams to minimize obstacles and increase beneficiary and provider satisfaction

· Cooperate with health care professionals to evaluate beneficiary's medical or physical condition and to assess client needs

· Advocate for beneficiaries to resolve crises

· Assess beneficiaries needs and/or care plan treatments

· Interview beneficiaries to gather information about their backgrounds, needs, or progress

· Intervene in crisis situations to assist beneficiaries

· Evaluate effectiveness of Care Plan and make necessary adjustments

· Coordinate PCP follow ups (call to help ensure they made their appointments) or set an appointment from the beneficiary’s home

· Communicate directly with PCP and/or specialists regarding any problems, or therapy changes

· Provide emotional and physical comfort and safety of beneficiaries, taking into consideration their rights and cultural backgrounds

*Provide education, monitoring of health needs, and coordinating of community resources

· Participate in case conferences, team meetings, staff meetings and Performance Improvement activities as assigned

· Facilitating beneficiary empowerment and quality of life by promoting educated, independent beneficiary choice on all aspects of care

· Identifying opportunities for health promotion and illness prevention

· Adhere to all policies and procedures including but not limited to the HIPAA Privacy rule

· Adheres to all policies and procedures including HIPAA

· Maintains professional licensure and other requirements

· Performs other duties as assigned

Knowledge, Skills and Abilities

· Documentation Skills

· EMR proficiency

· Analyzing Information

· Critical Thinking Skills

· Decision Making

· Verbal and written communication proficiency

· People Skills

· Conflict resolution

· People Management

· Integrity, compassion

Minimum Education and Experience

· Master’s Degree (or higher) in Social Work from an accredited school

· 3 years of social work experience in a health care environment

· Bilingual: Spanish and English required

· Proficient in MS Office Suite to include Word, Excel, Notes, Outlook

· Knowledge of Social Work theory and practice as it pertains to people of all ages

• Strong professional level of knowledge
• Strong crisis intervention skills
• Problem solving skills and ability to multi-task
• Excellent organizational and time management skills
• Excellent short-term counseling skills

Genuine Health Group offers a competitive compensation and benefits package that includes sign-on bonus, 401k matching program, fully subsidized medical plans, paid holidays and much more. Base salary will be commensurate to professional experience.

Genuine Health Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Type: Full-time

Pay: From $70,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Geriatrics

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Please provide salary expectations for this position.

Education:

• Master's (Required)

Experience:

• Social work: 3 years (Required)
• healthcare: 3 years (Required)

Language:

• Spanish (Required)

Willingness to travel:

• 50% (Required)

Work Location: Hybrid remote in Coral Gables, FL 33134