Community Based Health Manager, MSW, LSW jobs in United States
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Virtua · 1 month ago

Community Based Health Manager, MSW, LSW

VIRTUA is seeking a Community Based Health Manager with expertise in case management services. The role involves assessment, planning, and coordination of care for high-risk patients, ensuring compliance and positive outcomes through effective communication and resource utilization.

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Responsibilities

Conducts comprehensive assessments for assigned chronic disease high risk patients using a standardized tool
Develops a patient centered individualized plan of care including treatment goals and addresses patient’s clinical, preventative screening, psychosocial and educational needs
Coordinates appropriate care through clinical assessment and patient advocacy
Communicates and educates patient, family and healthcare team on the plan of care and transition options ensuring patient freedom of choice
Makes appropriate referrals within the scope of available benefits to facilitate a patient centered individualized plan of care
Facilitates appropriate services needed to meet needs of patient such as DME, HC, Meals on Wheels, transportation etc
Understands quality metrics and preventative screening associated with chronic disease management
Communicates effectively with physicians and care team the patient centered individual plan of care and assessment needs
Coaches the patient/care giver to meet patient centered individual plan of care goals
Appropriate and complete documentation of assessments, patient centered individualized plan of care including treatment goals and patient/care giver education in patient record
Documents updates in treatment goals and preventative interventions in patient record
Understands and applies applicable federal and state regulatory requirements
Participates in organizational improvement activities, including patient satisfaction teams, six sigma teams, departmental/divisional teams, and community events

Qualification

Behavioral Health experienceGeriatric experienceEPIC experienceExcel experienceClinical nursing experienceAcute care experienceMedicare knowledgeMedicaid knowledgeComputer proficiencyCommunication skillsProblem solvingCritical thinkingConflict resolution

Required

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 bachelor's or master's Degree
Licensure and/or certification from the State of New Jersey as a Social Worker or Registered Nurse

Preferred

3 years clinical nursing (RN) experience and 1-year acute care UR/CM/QM experience or 3 years' experience as Clinical Social Worker in acute care
Behavioral Health and Geriatric experience
EPIC and Excel experience
Competent computer and technology experience
Basic understanding of Medicare, Medicaid and managed care

Company

Virtua

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Virtua is a gamified metaverse of digital collectibles.

Funding

Current Stage
Growth Stage
Total Funding
unknown
2018-01-01Seed
Company data provided by crunchbase