Social Care Supervisor Population Health

Population Health Social Care Supervisor

The Population Health Social Care Supervisor will have oversight and project management responsibilities for community-based initiatives. Experience working with underserved and diverse populations in community settings is required. Develops and monitors Social Care team goals; provides ongoing feedback and coaching; conducts annual performance reviews; routinely evaluates staff's skills and technical comprehension. Contributes to the growth and success of their team and CHW program and its goals. Active participation in CHW forums and community-based initiatives. Analyzes processes and procedures to develop innovative approaches to challenges or issues. Attend and actively participate in all project related trainings and project meetings. Strive for high customer satisfaction by providing prompt, solution-focused support to team, co-workers, patients, and community partners. Ensures an atmosphere of open communication, teamwork, and empowerment to make informed decisions. Collaborates with Senior Manager of Population Health Transformation in analyzing reviews, metric data, and chart audits and uses that information to identify opportunities for improvement. Collaborates with Senior Manager of Population Health Transformation on overall budget for Care Management. Oversees Social Care Team position control and hiring of new staff. Contributes to the clinical, quality and financial outcomes of the Population Health Department. Familiarity with value-based payment models and supports payor related value-based care programs. Performs all other related duties as assigned by Senior Manager of Population Health Transformation. Demonstrates a measurable, organized, enthusiastic and outcomes-oriented approach. The Social Care Team is responsible for supporting and coaching at-risk patients to manage their own health and assisting them in navigating the health care and social service systems. Reliable and accessible transportation along with current insurance coverage is required. Complete all required documentation and data tracking in a detailed and timely manner. Complete all telephone and face-to-face contacts with patients in a timely and professional manner. Complete enrollment forms and other needed documentation and documents in approved format in a timely manner. Assist patients in the community through home visits, attending medical appointments, and accessing other community-based resources. Must have the ability to relate to diverse groups of people and people on all levels. Provide support and education to patients to assist them in adhering to medical recommendations and taking medications as prescribed. Assist patients in scheduling medical and social service appointments and attending appointments as needed or requested. Assist patient in securing transportation to medical and social service appointments. Provide assistance with medical and behavioral health referrals to ensure client access and follow-through. Assist patients in obtaining necessary medications through patient assistance programs and other reduced cost programs. Complete client-centered treatment goals in collaboration with patients and review progress in meeting goals routinely and at identified 60-day check-in times. Provide regular and timely updates to medical providers, referral sources, and assigned clinics on patients' progress to meet treatment goals and to troubleshoot any problems or concerns. Review referral forms, needs assessments, or Electronic Medical Record data and determine appropriateness of referrals. For patients not appropriate for projects, provide active referrals to other community resources. Assist clients in accessing and understanding necessary health and wellness information provided by their medical provider and clinic. Ensure client's access to interpreters and translators for medical and social service appointments.

Job Requirements : Applicable Experience : 3-5 years. Driver's License : Various. Master's Degree : Social Work.

Job Details : Full Time Day (United States of America).

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