Community Resource Coordinator - Licensed Social Worker 8/16/2016
JOB DESCRIPTIONAPPLY MORE INFORMATION ABOUT THIS JOB:
Responsible for partnering with the physician and multidisciplinary team in coordinating patient care with the underlying objective of enhancing quality and cost effective care. Acts as a resource and patient advocate to facilitate a safe transition across the continuum.
This is a primarily telephonic role that will service two distinct groups : Virtua employees and patients that utilize the VPP/Aetna insurance product that will be marketed through Virtua Physician Partners.
Completes appropriate assessments for assigned practices using standardized tool; and plans effectively to meet patient educational and psychosocial needs, and promotes efficient utilization of resources. The outreach will be based on utilization and/or proactive outreach (i.e., patient cancels appointment, hasn't been seen, missed routine screenings) with the goal to direct them to appropriate services.
Engages the physician and builds seamless continuity of care.
Helps identify factors impeding patient progression, resolves, escalates and documents as appropriate. Meets with identified practices to review cohort metrics and share knowledge of best practice and available resources to achieve quality and cost effective care (Virtua Physician Partners positions only)
Coordinate education and resources and care for VMG primary and specialty offices.
Appropriate and complete documentation of individual plan of care in EMR.
Metrics - Accountable to job specific goals, objectives and dashboards which contribute to the success of the organization.
Participates in organizational improvement activities including patient satisfaction, Six Sigma committee, department and/or divisional teams and community activities.
Understands and applies applicable federal and state requirement. Identify and reports compliance issues as appropriate
Position Qualifications Required:
Required: Must be RN or Masters prepared Licensed Social Worker
Preferred: 3 years clinical nursing (RN) experience and 1 year UR/CM/QM experience or 3 years experience as Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care. Discharge planning or home health background
Excellent verbal and written communication skills, problem solving, critical thinking and conflict resolution.
Graduate of an accredited School of Nursing or Graduate of an approved School of Social Work with a Master's Degree. BSN preferred.
Training / Certification / Licensure:
Licensure and/or certification from the State of New Jersey as a LSW or LCSWor Registered Nurse.
Virtua is an equal employment opportunity employer and does not discriminate on the basis of gender, race, age, religion, physical or mental disability, marital status, national origin or any other category protected by federal or state law