Social Worker

HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 165+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources.

HCP’s vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP’s mission of serving our members by facilitating the delivery of quality care. Interested in joining our successful Garden City Team? We are currently seeking a Social Worker!

Position Summary: The Social Worker will provide telephonic member engagement to facilitate comprehensive assessments and individualized interventions to help members achieve improved health outcomes. This position provides clinical experience working with a diverse population to address social determinants of health, mental health, substance abuse, and long term care planning concerns. Services include assessments, treatment planning, hospital discharge planning, care coordination, and provision of counseling and crisis interventions.

The Licensed Social Worker will work in partnership with our network of physicians to address social needs of our population. They will be a member of the interdisciplinary team and collaborate with other team members including nurses, Clinical Pharmacist and Medical Directors to support all members through early discharge planning, psychosocial assessment, and care coordination, ensuring safe transitions of care while addressing social determinants of health and reducing avoidable utilization.

Essential Position Functions/Responsibilities:

• Incorporates knowledge of community resources and entitlement programs in planning, knows how to make appropriate referrals to community and other governmental agencies for services, and demonstrates ability to coordinate services.

• Must be able to independently assess the psychosocial functioning and needs of members to formulate and implement a treatment plan, identifying the member’s problems, strengths, weaknesses, coping skills, and connect them with additional services/resources, as appropriate.

• Must be proficient in motivational interviewing to assess and encourage change.

• Must work from a strength based, member centered perspective to independently conduct psychosocial assessments and provide psychosocial treatment to a wide variety of individuals from various socio-economic, cultural, ethnic, educational and other diverse backgrounds for our care coordination programs (behavioral health case management, episodic social work and episodic behavioral health care management).

• Takes ownership of each member contact to anticipate member needs, resolve their issues and connect them with additional services/resources, as appropriate.

• Must have knowledge and experience in the use of medical and behavioral health diagnoses, psychiatric medications and treatment procedures.

• Conducts behavioral health utilization management in accordance to MCG and ASAM criteria, participates in discharge planning, and encourages enrollment in behavioral health case management.

• Coordinates discharge planning activities with an interdisciplinary team

• Actively participates in SNP (Special Needs Population) rounds, interdisciplinary inpatient and skilled nursing facility rounds.

• Interacts with hospital discharge planning team (i.e. hospital social workers, case managers, and Case management staff) for the collection of pertinent information for timely discharge planning and linkage to appropriate community resources.

• Demonstrate an understanding about the SDOH and/or psychosocial needs of members and the impact of SDOH and/or psychosocial problems on the member’s well-being and compliance with treatment.

• Interacts with medical directors to discuss member’s treatment plans.

• Conducts assessments with high risk members with chronic conditions (i.e. ESRD on HD, severe diabetes, etc.) to assess barriers to receiving care and provide assistance.

• Acts as a bridge between HCP and doctor offices to increase awareness of the SW and BH department and how social workers can assist them in managing their patient’s behavioral health and social needs; conducts PCP office visits as appropriate.

• Must have knowledge and skill in the use of computer software applications for drafting documents, data management, and tracking.

• Provides crisis intervention and stabilization as needed. May require some after hours and/or weekend follow-up for emergency situations.

• Demonstrates excellent interpersonal skills and works well in a team

• Demonstrates active listening skills and proficient documentation skills

• Completes assigned training and webinars in a timely manner.

• Identifies departmental program needs and makes recommendations.

• Participates in special projects as assigned.

**Qualification Requirements:
Skills, Knowledge, Abilities**

• Interpersonal skills diverse groups

• Ability to efficiently problem solve

• Excellent organizational skills

• Ability to work independently as well as a team member

• Knowledge of community and governmental agencies

• Knowledge of clinical diagnosis and treatment modalities

Training/Education:

• NYS license – Master/Clinical Social Worker

• MSW required

Experience:

• 2-3 years of case management and/or hospital discharge planning

The base salary range for this position is listed below. The annual base salary will be determined based on factors including experience, education, posted salary range and consideration of internal equity.Equal Employment Opportunity Statement:

HealthCare Partners, MSO is committed to fostering a diverse and inclusive workplace. We provide equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other protected status under federal, state, or local laws. In compliance with all applicable laws, HealthCare Partners, MSO upholds a strict non-discrimination policy in every location where we operate. This policy applies to all aspects of employment, including but not limited to recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Disclaimer:

The above job description outlines the general scope and responsibilities of the position. It is not intended to be an exhaustive list of duties, skills, or qualifications required. Responsibilities may evolve based on business needs.