About the role

Health Partner Social Worker managing high-risk members' care for Banner Health's Population Health Management team. Engaging with a multidisciplinary team and providing comprehensive support for member health.

Responsibilities

Manage members with high risk, chronic complex conditions, rising risk, and acute conditions in the delegated populations
The Health Partner will be the main point of contact for members and providers across care settings
Engages the appropriate resources within the multidisciplinary team to achieve optimal results for the member, family, and care givers
Provides comprehensive care coordination for members as assigned
Ensures adherence to the plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the member through their care
Coaches members regularly regarding disease related symptom management
Advises members on lifestyle choices to improve prognosis and overall health
Provides self-management support
Applies the skills of motivational interviewing to promote lifestyle changes
Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team
Meets and accompanies the member and family to their initial appointments and/or conducts in-home assessments based on members’ needs
Educates internal members of the health care team on case management and managed care concepts

Requires a master’s degree in social work or related degree
Must possess knowledge of managing and coordinating care for members with chronic complex disease processes as normally obtained with two or more years of experience related to complex conditions in the acute care setting
Requires a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with two years of experience directly related to case management in health plan/management/quality
BLS required for programs that are embedded in a clinical setting or conduct member community or home visits
Must have highly developed interpersonal and critical thinking skills with the ability to prioritize needs rapidly
This position requires the ability to convey messages and thoughts clearly to a diverse audience, using both verbal and written mediums
Requires the ability to promote change among members
Responsible, caring, and respect for all member populations, infants through geriatrics
Requires the ability to coordinate information and activities, work under stress of deadlines and frequent interruptions, and to possess analytical problem-solving skills
Must possess excellent organizational skills, as well as effective human relations and communication skills
Computer literacy and keyboarding skills is required
Must be proficient in the use of system office applications