Bilingual Spanish Medical Social Worker - MSW / LCSW (Conduct Home Visits in Las Vegas / Henderson, NV)

Location: Las Vegas, Nevada US

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Job Number: 7591

Workplace Type: Fully Remote

Position Title: Social Worker

External Description:

Overview of the Role:

Alignment Health is seeking a proactive, organized, and compassionate bilingual Spanish social worker to join the Care Anywhere team in Las Vegas, NV or Henderson, NV.  As a social worker, you get to assess and evaluate members’ needs and requirements to achieve and / or maintain their health. You will be providing field, virtual, and telephone visits while guiding members and their families toward and facilitating interaction with resources appropriate for their care and well-being. You will also work in collaboration with a multi-disciplinary team, employing a variety of strategies, and techniques to enable a member to manage their physical, environmental and psycho-social health issues.

If you are seeking an opportunity to learn and grow, be a part of a collaborative team, and positively impact the lives of seniors – we are looking for YOU!

Responsibilities:

  • Conduct telephonic social work outreach to assigned members to assess health, environment, mental health, nutrition, functionality, decline, and psycho-social areas of concerns by conducting a Social Work assessment.
  • Coach and problem solve with member to identify and address specific goal(s) to support health and behavior change in response to assessments
  • Document social work Interventions and goals in the EMR. Submit documentation into the medical record within (2) business days of face-to-face field visits seeing the member, and within the same day care is provided for telephonic and virtual visits, in adherence to the department’s documentation timeline requirement.
  • Promotes the value of Health Care Advanced Directive and documents discussion of member preferences.
  • Chart member encounters in a thorough and timely manner.
  • Provide appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community- based support services, supportive counseling for mental health conditions, care navigation, advanced care and end of life planning
  • Collaborate with other members of the interdisciplinary team.
  • Chart members’ treatments and progress in accordance with state regulations and department procedures.
  • Makes referrals to case manager, as appropriate, and / or refers members’ family to community support services and resources.
  • Provide home assessment to high-risk members and develop an individual care plan
  • Learn and understand the clinical program design, program monitoring, and reporting to best serve members and implement the model of care.
  • Perform a full range of clinical social worker procedures in accordance with clinical privileges granted by the plan and based in accordance with social work standards of practice.
  • Practice as an interdependent member of the health team and provide important components of primary health care through direct social work services, consultation, collaboration, referral, teaching, and advocacy.
  • Provide direct and indirect services to both inpatients and outpatients in accordance with social work standards of practice.
  • Assess and treat outpatients in individual and family modalities exercising mature professional judgment and using a wide range of social work skills to include individual and family counseling to assist patients and their families in dealing with chronic and acute diseases / injuries.
  • Conduct psychosocial assessments to determine patient needs and resources (both family support and community support). Provide counseling to patients and family in matters directly related to patients’ limitations, adjustment to medical conditions, and ongoing treatment. Participate with nurses and physicians in the implementation of discharge plans, follow-up care, and transfers to other health care facilities (e.g., nursing homes, rehabilitation hospitals, etc.)
  • Plan and maintain referral and coordination services of services with other agencies to provide optimal patient care.
  • Provide consultation services to medical, nursing, and ancillary hospital staff regarding psychosocial issues, discharge plans, and follow-up care for patients and families.
  • Provide crisis intervention services when indicated.
  • Respond independently, and with various media, to appropriate community requests. Take the initiative in seeking out opportunities to present programs to meet the needs of patients / members and their families.
  • Consults with hospitals and plans in the coordination of care regarding the mental health of members. Develop and maintain working relationships with community resources. Coordinate with physicians, and representatives of their service disciplines for the benefit of the members and their families. Take initiative in identifying and assessing the needs of the community and organize responses to address those needs.
  • Act as a human services agent, using clinical judgment and knowledge of area resources to provide information and referrals to patients and other care providers.
  • Interface with the RN Case Manager(s) and the Interdisciplinary Team (IDT) in the development and implementation of Social Work interventions.
  • Integrate social work case management and nurse case management as a team.

Required Skills and Experience:

  • Minimum (5) years’ experience in care management, medical social work, hospice social work, home health, assessment, long term member / patient care management, and / or community-based resource delivery.
  • Able to interact effectively with multi-disciplinary team members.
  • Experience working with vulnerable adults or older adult population.
  • Strong understanding of current and potential needs of members to take appropriate action to support members in health and well-being changes.
  • Able to build trust in partnership with members / client / patient.
  • Basic knowledge of complex care management and care management principles.
  • Experience with motivational interviewing and appreciative inquiry.
  • Master’s degree in social work (MSW) required from an accredited school of social work by the Council on Social Work Education
  • Unrestricted California Social Work License (LCSW) in good standing
  • Bilingual English and Spanish highly preferred.
  • Drive to conduct member visits to member’s home, skilled nursing facilities (SNF), hospital, board and care, and / or assisted living facilities.
  • Intermediate computer proficiency with Microsoft Outlook, Word, and Excel.
  • Able to use a variety of electronic information applications / software programs.
  • Demonstrated skill in problem solving.
  • Ability to communicate clearly and professionally in both written and oral communication.

Work Environment:

The work environmental characteristics described here are representative of those employee encounters while performing the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  • The employee frequently lifts and / or moves up to (10) pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

City: Las Vegas

State: Nevada

Location City: Las Vegas

Location State: Nevada

Community / Marketing Title: Bilingual Spanish Medical Social Worker - MSW / LCSW (Conduct Home Visits in Las Vegas / Henderson, NV)

Company Profile:

Alignment Health is revolutionizing health care for seniors by leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].