Social Worker - $5,000 sign on bonus - Lexington, Louisville or Bowling Green, KY

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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

Clinical

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

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Social Worker is responsible to act as a liaison and assists in coordinating resources for the care of health plan members with multiple co-morbidities and/or psychosocial needs. The primary scope is to provide counseling and assistance to patients and their families as requested with personal, financial, ethical and environmental difficulties that predispose patients to illness. The Social Worker acts as an advocate for members and their families linking them to community resources and financial assistance programs for continued growth toward a maximum level of independence. The Social Worker will interact and collaborate with the interdisciplinary care team, which includes physicians, nurses, case managers, pharmacists, laboratory technologists, other social workers, dietitians and other educators.

The hire for this role can live in or near Louisville, Lexington or Bowling Green, KY.

Primary Responsibilities:
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements for Model of Care and Center for Medicare and Medicaid Services (CMS) regulations
  • Coordinates outpatient needs related to community resources, financial assistance programs, and long-term activity of daily living needs outside the benefit criteria of the medical insurance coverage
  • Attends member visits with their PCP and specialists as needed and provides related feedback on planned interventions and outcomes of plan of care
  • Identifies and assists with patients with high-risk diagnoses and/or patients with multiple co-morbidities who will benefit from social care coordination, contracts, providers, and facilities
  • Conducts site visits in the home, clinic, and hospital setting. Performs member evaluations in multiple settings, including but not limited to: member's home, PCP/specialists clinic, hospital, and skilled nursing facility
  • Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
  • Along with care team members, reviews the need for and assists with obtaining DME, home health and other resources necessary for the patient and educates them about their community resources and options and advocating on behalf of the patient
  • Takes ownership of the total work process and provides constructive information to minimize problems and increase internal and external customer satisfaction
    • Participates in the development of appropriate QI processes, establishing and monitoring indicators. Takes corrective action when data shows a need to modify management strategies or systems
    • Attends and contribute to staff meetings
    • Adheres to organizational and departmental policies and procedures
    • Seeks ways to improve job efficiency and makes suggestions to the appropriate manager
    • Performs all duties for internal and external customers in a professional and responsible manner
  • Assists in the growth and development of self and associates by sharing special knowledge with others
    • Attends educational offerings to keep abreast of change and comply with licensing requirements
    • Maintains knowledge of the Health Plan Benefits
  • Performs all other related duties as assigned
  • The pace is fast and you'll need to be comfortable managing multiple priorities. You may be required to work in multiple locations, so scheduling flexibility is essential. You must also be able to respond calmly and effectively in emergency situations


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:
  • Current unrestricted KY social work license
  • 3+ years of social work experience in a health care environment
  • Proficient in PC software computer skills such as Microsoft Word, Excel, Power Point, and other departmental specific programs/applications
  • Ability and willingness to travel (locally and non-locally) as determined by business needs
  • Reliable transportation that will enable you to travel to client and / or patient sites within a designated area
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:
  • Knowledge of disease management, managed care, medical terminology, referral process, claims, and ICD-9 and CPT coding
  • Master's degree in Social Work (LMSW)
  • LCSW
  • Experience working with geriatric and psychiatric patient populations
  • Bilingual (English/Spanish) language proficiency
  • Prior field based work experience
  • Experience working with Home Care Based Services
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills
  • Independent problem identification/resolution and decision making skills
  • Able to prioritize, plan, and handle multiple tasks/demands simultaneously


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

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

**PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign On Bonus.

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, Community Health Setting, Clinical Social Worker, LCSW, LMSW, MSW, Long-Term Care, Personal Care Services, Private Duty Nursing, Home Health, Home Care, Field Case Manager, Field, Community Care, Care Manager, Case Manager, Geriatric , Psych, Psychiatric, Disease Management, Medicaid Members, Community Centers, Hospitals, Providers' Offices, Home Care Based Services, Psychosocial, Integrated Care Model, Managed Care, Advocate, Louisville, Kentucky, KY, Travel, Telecommute, Telecommuter, Telecommuting, UHG, UnitedHealth Group, UHC, UnitedHealthcare

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