Social Worker (LCSW) - Telecommute in Albuquerque Metro Area

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

This role co-manages members with case and disease managers to assess, plan, facilitate and monitor options and services required to meet an individual's healthcare needs, while promoting quality, and cost effective outcomes for members with complex psychosocial needs. Serves as liaison to teammates, Providers and patients as needed. Responsible for providing clinical social work services to members and families on an outpatient basis including, crisis intervention, short-term case management, and providing information and referrals to community resources. This is performed under the direct supervision of the Medical Director, Care Management. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

If you are located in the Albuquerque Metro Area , you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Performs psychosocial evaluations of member's physical, social and emotional functioning as well as financial and family support as needed
  • Conducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation/engagement
  • Develops a treatment plan or plan of care which includes arrangements for referral to services as appropriate
  • Assists Care Managers with care coordination and discharge planning for patients with complex discharge needs
  • Provides community resource information to case and disease managers, providers, or directly to members or families
  • Acts as a consultant to members requiring information on Advanced Directives or Power of Attorney
  • Participates as appropriate in scheduled Case and Disease Management Huddles to present information regarding member status, care coordination efforts, resources provided, and to provide guidance to fellow teammates regarding resources for members
  • Documents social work interventions by inclusion of reports in medical records and referral management system as needed
  • Maintains statistical data on social work treatment plan, intervention and outcomes
  • Participates on an assigned basis in educational training for teammates and providers related to the psychosocial aspects of physical and emotional illness/disability
  • Acts as a resource to department teammates, organization teammates, and Providers for difficult to manage members
  • Maintains current information on all frequently used community resources, financial resources and placement facilities
  • Routinely updates resource list and is available to discuss how to resource required services
  • Identifies and intervenes with high-risk patients requiring social services
  • Uses, protects, and discloses The Medical Group patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • Master's degree or higher in healthcare related field and applicable licensure, (i.e. LCSW or other applicable licensure demonstrating appropriate scope of practice)
  • NM licensure providing ability to perform duties required of position, (i.e. LCSW)
  • Current BLS Certification
  • 3+ years of previous job-related experience in a healthcare environment
  • PC proficient
  • Demonstrated ability to communicate and interact professionally with co-workers, management patients, and Providers
  • Demonstrated ability to counsel and/or consult; working knowledge of HMO's, PPO's, Medicare, Medicaid, and insurance plans
  • Knowledge of CPT4/ICD 9 & 10/HCPCS codes

Preferred Qualifications:
  • Certified Case Manager
  • Utilization Review or Case Management Certificate
  • 2+ years of experience providing case management and/or utilization review functions within health plan or integrated system

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Social Worker, LCSW , Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, Albuquerque, NM, New Mexico