Care Manager / LSW - Associate Care Coordinator

About the Role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits, and career development opportunities.

Responsibilities

• Assess physical, psychosocial, and economic needs for transition of care planning to a variety of levels of care.
• Document, verify, and validate specific data required to monitor and evaluate interventions and outcomes.
• Interview and collect patient-specified data and perform chart reviews related to admission and discharge.
• Communicate telephonically and electronically with outpatient providers to enhance the continuum of care.
• Adhere to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies.
• Provide leadership in the coordination of patient-centered care across the continuum, develop a safe discharge plan through collaboration with patients, caregivers, and the multidisciplinary healthcare team to arrange appropriate post-discharge services and optimal transitions in care.
• Maintain a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, and regulatory requirements; serve as an educational resource to all Health System staff regarding utilization review.
• Drive appropriate DRG length of stay, patient experience, and reimbursement for all patients.
• Promote patient advocacy in an independent care model.
• Engage the patient, family/significant other, and interdisciplinary team in the discharge process to identify appropriate post-acute resources and community service follow-ups.
• Actively participate in areas of expertise to further enhance the role of social work within the hospital.
• Complete duties required for discharge planning, such as options forms and agency referrals.
• Perform other duties as assigned or required.

Requirements

• Bachelor’s degree.
• Licensed by the state of Maine as an LSW.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The salary for this role will range from $49,700 to $88,800 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.