Health Plan Social Work Care Coordinator - Denver Health Medical Plan (Must Be A Colorado Resident)

We are recruiting for a motivated Health Plan Social Work Care Coordinator - Denver Health Medical Plan (Must Be A Colorado Resident) to join our team!

We are here for life's journey.

Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all :

Humanity in action, Triumph in hardship, Transformation in health.

Department

Managed Care Administration

• Must Be A Colorado Resident

Job Summary

Under general supervision, the Health Plan Social Work Care Coordinator (SWCC) is responsible for facilitating and coordinating the care delivered to an assigned group of members using multidisciplinary and member / family collaboration to ensure quality and cost effective outcomes are delivered within appropriate care coordination parameters. Coordination involves assessment of care needs, planning, support, and evaluation of member care and related outcomes. Activities to be performed are screening and assessment of medical, behavioral health and social determinants needs and gaps in care, collaboration with the Member to develop a care plan with SMART goals, scheduled outreach to support member in achieving their goals and supporting the Members self-efficacy to navigate systems. SWCC communicates closely with the Member's care team inclusive of : the Member, designated health representatives, primary care provider, behavioral health providers and other care coordinators involved with the Member's care. Encounters occur face to face, telephonically, and electronically with members in clinic and in other community-based settings.

Position is an active contributor in the development of systems (e.g. work flows, clinical pathways, assessments) to improve the care of assigned member populations. Helps ensure compliance with state, federal and third party payor requirements.

Essential Functions :

Utilizes Care Coordination Processes :

(25%)

Provide Care Coordination Services :

Health Teaching and Promotion :

(25%)

Care Coordination

(25%)

Education :

Master's Degree Social Work required

Work Experience :

Three years of direct member care experience in acute, ambulatory care or community-based care required

Licenses :

Knowledge, Skills and Abilities :

Bilingual in English / Spanish, preferred not required.

Knowledge of emotional and social factors that impact patient's health.

Shift

Days (United States of America)

Work Type

Regular

Salary

$61,200.00 - $94,800.00 / yr

Benefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center and wellness classes

Childcare discount programs & exclusive perks on large brands, travel, and more

Tuition reimbursement & assistance

Education & development opportunities including career pathways and coaching

Professional clinical advancement program & shared governance

Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

Respect

Belonging

Accountability

Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.