Manager enabling Services Programs at Mastercard, focusing on program management and performance evaluations. Engaging with leadership and advocating for project success across the organization.
About the role
- Care Navigator engaging high-risk patients, implementing interventions and coordinating care efforts in a hybrid role for CenterWell Senior Primary Care. Requires MSW and LMSW in the Las Vegas area.
Responsibilities
- Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups
- Provide triage guidance and supportive consultation to other team members, handling escalated complex cases
- Develop care plans leveraging 5Ms Geriatric best practice framework
- Develop a wholistic view of patient needs related to Social Determinants of Health
- Identify existing barriers to engagement with necessary resources and supports
- Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
- Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
- Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
- Supporting patients’ self-determination, motivate patients to meet the health goals they have identified
- Refer patient to necessary services and supports
- Lead Interdisciplinary Team Meetings when indicated
- Assess patient’s family system, and conduct family meetings with patient and family when needed
- Participate in creation and facilitation of team training content
- Conduct group psychoeducation and support groups within the Center
- Perform all other duties and responsibilities as required
- Participate in and lead interdisciplinary review of and coordination around complex patients
- Maintain patient confidentiality in accordance with HIPAA
- Document patient encounters in medical record system in a timely manner
Requirements
- Master's in Social Work (MSW)
- Licensed Master Social Worker in Nevada (LMSW)
- Minimum of 4 years of experience working in healthcare services and navigating community-based resources
- Familiarity with state Medicaid guidelines and application processes
- Experience working with patients with behavioral health conditions and substance use disorders
- Prior experience conducting home visits and knowledge of field safety practices
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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